ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Restrict daily oral fluid intake. This action is important for patients with heart failure to prevent fluid overload. Administering an IV bolus of lactated Ringer's (
A) can exacerbate fluid overload. Obtaining misoprostol (
B) is not relevant to managing heart failure. Assessing blood pressure twice daily (
C) is important but not the priority.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding should be reported to the provider because it indicates hyperglycemia, which may require adjustment in the patient's diabetes management plan to prevent complications. A: WBC count within the range, so not urgent. B: Hematocrit within the range, so not critical. D: Creatinine within the range, so not an immediate concern. Reporting C is crucial for timely intervention.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and pain in the flank area. Flank pain is a common symptom due to the infection in the renal pelvis and kidney tissue. Epigastric discomfort (
A) is more indicative of gastrointestinal issues. Temperature elevation (
C) is a general sign of infection but not specific to pyelonephritis. Abdominal cramping (
D) is more associated with gastrointestinal problems.
Extract:
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 4 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Perform a vaginal examination by applying upward pressure on the presenting part. This action is crucial to assess the progress of labor and determine if there is a risk of cord prolapse, a serious obstetric emergency. By applying upward pressure, the nurse can alleviate pressure on the cord and prevent potential complications. Administering oxygen (
A) may be necessary but is not the immediate priority. Covering the umbilical cord (
B) does not address the potential emergency. Initiating IV fluids (
C) is important, but assessing the cord position takes precedence.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is essential in the plan of care to treat a suspected infection. Antibiotics can target a wide range of bacteria, covering potential pathogens until specific cultures can identify the causative organism. Cleansing the site with povidone-iodine (
B) is important for local hygiene but does not address systemic infection. Monitoring rectal temperature (
C) is a good assessment measure but does not actively treat infection. Preparing for surgical closure after 72 hr (
D) may be necessary but does not address the immediate need to manage infection.