ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation.
Question 1 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: A
Rationale: Irregular contractions not felt by the client may suggest preterm labor, warranting further testing, unlike reactive NST findings which are normal.
Extract:
A nurse is calculating the estimated date of birth using Nagele's rule for a client who is pregnant and whose last menstrual cycle started June 21.
Question 2 of 5
What is the estimated date of delivery in the next year?
Correct Answer: C
Rationale: Using Nagele's rule: June 21 - 3 months = March 21, + 7 days = March 28, providing the estimated delivery date.
Extract:
The client is a gravida 4, para 3, admitted at 28 weeks of gestation with vaginal bleeding for 2 hours, saturating pads with bright red blood. Abdomen soft, nontender, no pain. Fundal height 27 cm. FHR with minimal variability, no decelerations.
Question 3 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor: Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Miscarriage; Action Choices: A. Instruct bed rest, B. Prepare for cesarean, C. Administer tocolytics, D. Monitor vital signs every 15 min, E. Prepare for ultrasound; Parameter Choices: A. Fetal heart rate, B. Maternal blood pressure, C. Maternal heart rate, D. Hemoglobin and hematocrit, E. Uterine contractions
Correct Answer: A
Rationale: Placenta previa matches painless bright red bleeding; bed rest prevents further bleeding, cesarean may be needed; monitor FHR and hemoglobin/hematocrit for fetal well-being and blood loss.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg to a newborn.
Question 4 of 5
What routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The intramuscular route in the vastus lateralis is preferred for phytonadione in newborns due to its large muscle mass and effective absorption.
Extract:
A nurse is admitting a patient to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the patient is 80% effaced and 8 cm dilated.
Question 5 of 5
The nurse realizes that the patient is at risk for which of the following conditions?
Correct Answer: D
Rationale: Rapid labor progression (80% effaced, 8 cm in 1 hour) increases postpartum hemorrhage risk due to potential uterine atony.