ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram.
Question 1 of 5
Which of the following examples should the nurse use to show appropriate transcription of this dosage?
Correct Answer: A
Rationale: The correct answer is A: 0.2 mg. This format is the most appropriate for dosage transcription as it clearly indicates the decimal point. B: 0.20 mg is redundant since the zero after the decimal does not add any value. C: 20 mg is incorrect as it represents a different dosage amount. D: 2 mg is also incorrect as it is not the same dosage as the one provided. The key is to accurately represent the dosage with the appropriate decimal place, making A the correct choice.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 2 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 nurse is assessing a client who is pregnant for preeclampsia.
Question 3 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: The correct answer is B: Elevated blood pressure. This finding should indicate to the nurse that the client requires further evaluation for the disorder because it could be a sign of a serious health condition such as hypertension, which needs prompt assessment and management to prevent complications. Vaginal discharge (
A) could indicate an infection but does not necessarily relate to the specific disorder in question. Joint pain (
C) may be indicative of other conditions like arthritis. Increased urine output (
D) could be related to different factors such as increased fluid intake or diabetes, but not necessarily specific to the disorder being evaluated.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 4 of 5
Which of the following explanations about this test should the nurse provide to the client?
Correct Answer: A
Rationale: The correct answer is A because the given test is likely referring to the maternal serum alpha-fetoprotein (MSAFP) screening test. This test is commonly used to screen for neural tube defects and other spinal abnormalities in the fetus. The other choices are incorrect because B is usually assessed through tests like lecithin/sphingomyelin ratio, C is typically identified through Rh factor testing, and D is evaluated through tests like non-stress test or biophysical profile.
Therefore, the most appropriate explanation to provide to the client is that the test is a screening test for spinal defects in the fetus.
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client reports headache, dizziness, and blurred vision for 1 week. The nurse notes 3+ edema in lower extremities and deep tendon reflexes (DTRs) 3+ with positive clonus. The fetal heart rate (FHR) is 140 with minimal variability.
Question 5 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client is most likely experiencing preeclampsia. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to other organs, typically after 20 weeks of pregnancy. The key indicators are hypertension, proteinuria, and edema. Chronic hypertension (
B) is high blood pressure that existed before pregnancy or that occurs before 20 weeks of pregnancy. Neurologic status (
C) and liver function studies (
D) may be affected by preeclampsia, but they are not the primary condition.