ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Changing the client's position is the first action to take when noting late decelerations in the FHR, as it can help alleviate pressure on the fetus and improve blood flow.
Extract:
A nurse is attending to a first-time pregnant woman who is at term. She is experiencing contractions but is unsure if she is in labor.
Question 2 of 5
Which of the following should the nurse identify as a labor sign?
Correct Answer: D
Rationale: Changes in the cervix, including effacement (thinning) and dilation (opening), are reliable signs of true labor. During true labor, contractions cause the cervix to thin and open to prepare for the passage of the baby.
Extract:
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
Question 3 of 5
What is her gravidity and parity using the GTPAL System?
Correct Answer: A
Rationale: G4 (4 pregnancies), T1 (1 term birth at 39 weeks), P2 (2 preterm births: twins at 34 weeks, 1 at 35 weeks), A0 (no abortions), L3 (3 living children from previous pregnancies).
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 4 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 nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 5 of 5
Which of the following findings would confirm to the nurse that the patient is in labor?
Correct Answer: B
Rationale: Cervical dilation is a key sign that a patient is in labor, as it indicates the cervix is opening to allow the baby to pass through the birth canal.