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 monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Question 3 of 5
Which of the following observations should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: A urinary output of 40 mL in 2 hours is less than the normal range (at least 30 mL/hour). This could indicate kidney dysfunction, a serious complication of pre-eclampsia, and should be reported.
Extract:
A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test.
Question 4 of 5
Which of the following should the nurse include? (Select all that apply)
Correct Answer: C, D, E
Rationale: Fetal motion, fetal breathing, and amniotic fluid volume are evaluated during a biophysical profile to assess fetal well-being. Fetal neck translucency and gender are not part of this test.
Extract:
A nurse is admitting a patient with severe pre-eclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 5 of 5
Which of the following orders requires clarification?
Correct Answer: C
Rationale: Ambulating twice daily may not be appropriate for a patient with severe pre-eclampsia at 35 weeks of gestation. Bed rest is often recommended to help lower blood pressure and reduce the risk of complications.