ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a group of patients on an intrapartum unit.
Question 1 of 5
Which of the following findings should be reported to the healthcare provider immediately?
Correct Answer: C
Rationale: A patient with preeclampsia reporting epigastric pain and an unresolved headache indicates severe preeclampsia, which can lead to serious complications like eclampsia if not treated promptly.
Extract:
A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 2 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.
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 3 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 in a healthcare provider's office is caring for a patient who is at 34 weeks of gestation and at risk for placental abruption.
Question 4 of 5
The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the most common risk factor for placental abruption, as high blood pressure can damage placental blood vessels.
Extract:
A nurse is caring for a client in the first stage of labor who is undergoing external fetal monitoring and receiving IV fluids. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Question 5 of 5
Which of the following is the correct interpretation of this finding?
Correct Answer: B
Rationale: Variable decelerations are due to umbilical cord compression, causing quick decreases in fetal heart rate that vary with contractions.