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: The correct action for the nurse to take first is to change the client's position (
Choice
A). This is important for assessing the client's condition, promoting comfort, and preventing complications such as pressure ulcers. Changing the client's position allows for better circulation and can help in improving respiratory function. This initial intervention is crucial in maintaining the client's overall well-being. Applying a fetal scalp electrode (
Choice
B) is not the priority unless indicated for fetal monitoring. Administering oxygen at a high flow rate (
Choice
C) is important but should come after addressing the client's positioning. Increasing the IV infusion rate (
Choice
D) may be necessary but should be done after the client's position is assessed and adjusted.
Extract:
A nurse has received an order to administer Morphine 5mg IV once immediately. The available concentration is 2.5 mg/mL.
Question 2 of 5
How many mL of morphine should the nurse prepare for administration?
Correct Answer: C
Rationale: The correct answer is C: 2 mL. Morphine is usually available in concentrations of 10 mg/mL. If the prescribed dose is 20 mg, the nurse should prepare 2 mL (20 mg ÷ 10 mg/mL = 2 mL).
Choices A, B, and D are incorrect because they do not match the calculated dose based on the concentration of morphine.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 3 of 5
Which of the following newborn complications should the nurse recognize as the priority focus of care?
Correct Answer: D
Rationale: The correct answer is D: Hypoglycemia. This is the priority focus of care in newborns as low blood sugar can lead to serious complications such as seizures and brain damage. Immediate intervention is crucial to prevent long-term harm. Hypomagnesemia, hyperbilirubinemia, and hypocalcemia are important to monitor but are not as urgent as hypoglycemia in newborns. Hypoglycemia requires immediate attention to prevent adverse outcomes, making it the priority over the other choices.
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 4 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 in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord.
Question 5 of 5
Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically contains two arteries and one vein. The arteries carry deoxygenated blood from the fetus to the placenta, and the vein carries oxygenated blood to the fetus.