ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor.
Question 1 of 5
Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A blood pressure of 80/56 mm Hg is the priority, indicating hypotension, a known side effect of epidural analgesia that can compromise maternal and fetal perfusion.
Extract:
The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?
Question 2 of 5
Which hormone is essential for maintaining pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Progesterone. Progesterone is essential for maintaining pregnancy as it helps prepare the uterus for implantation and supports the growth of the placenta. It also inhibits contractions of the uterine muscles, preventing premature labor. Estrogen (
A) plays a role in preparing the uterus for pregnancy, but progesterone is crucial for maintaining it. Oxytocin (
B) stimulates uterine contractions during labor, not for maintaining pregnancy. Human chorionic gonadotropin (hCG) (
C) is produced during pregnancy but its main function is to support the corpus luteum in the early stages, not to maintain pregnancy.
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 3 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 is attending to a patient in labor who has received an epidural anesthesia block. The patient's blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min.
Question 4 of 5
What should be the nurse's immediate course of action?
Correct Answer: D
Rationale: Positioning the patient laterally is the immediate course of action to maximize venous return and improve maternal blood pressure and fetal perfusion after epidural-induced hypotension.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 5 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: The correct answer is D, slightly above the umbilicus. This is the expected location to palpate the fundus immediately after childbirth. Fundal height corresponds with the number of weeks postpartum, so it should be around the level of the umbilicus within 12 hours postpartum and gradually decrease over the following days. Option A is too high for immediate postpartum, and option B is too low. Option C is incorrect as it suggests the fundus is below the umbilicus, which is not expected.