ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is providing care for a patient who is at 34 weeks of gestation. The nurse is reviewing the patient's electronic medical record to develop a plan of care.
Question 1 of 5
Which condition is the patient most likely experiencing?
Correct Answer: A
Rationale: Preeclampsia is likely given the gestational age and context, requiring seizure precautions and monitoring of neurological status and liver function due to risks of eclampsia and organ damage.
Extract:
A patient's lab results are as follows: BUN level is 8 mg/dL, Hemoglobin is 15 g/dL, Hematocrit is 47%, WBC count is 9,000/mm, Platelet count is 140,000/mm, Creatinine is 1.3 mg/dL, Bilirubin is 20 mg/dL, Aspartate aminotransferase (AST) is 36 units/L, and Alanine aminotransferase (ALT) is 40 units/L.
Question 2 of 5
What actions should be taken?
Correct Answer: C
Rationale: The bilirubin level of 20 mg/dL is significantly elevated (normal is 0.1-1.2 mg/dL), suggesting liver dysfunction or hemolysis, which requires further investigation. Reviewing daily logs helps monitor trends, but the provider should be notified of the bilirubin level.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 3 of 5
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations on the monitor strip during labor are indicative of uteroplacental insufficiency. This condition means that the placenta is not providing enough oxygen to the fetus.
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Question 4 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: A significant increase in blood pressure from a baseline of 110/70 mmHg to a current BP of 145/85 mmHg could indicate a risk for pregnancy-induced hypertension.
Extract:
A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes. The nurse suspects placenta previa.
Question 5 of 5
What would be an appropriate nursing action in this situation?
Correct Answer: C
Rationale: Preparing for a cesarean birth is appropriate for suspected placenta previa, as significant bleeding indicates the need for surgical delivery to ensure maternal and fetal safety.