ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 1 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 2 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 3 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.
Extract:
A nurse is attending to a first-time pregnant woman who is at term. She is experiencing contractions but is unsure if she is in labor.
Question 4 of 5
Which of the following should the nurse identify as a labor sign?
Correct Answer: D
Rationale: The correct answer is D: Changes in the cervix. This is a key labor sign as the cervix undergoes changes such as effacement and dilation during labor. Monitoring cervical changes helps assess progress and readiness for delivery. The other options are not specific labor signs: A relates to fetal position, B to rupture of membranes, and C to contraction pattern, which can occur before true labor starts. The focus should be on cervical changes as a reliable indicator of labor onset.
Extract:
A nurse is caring for a client who is 39 weeks pregnant and in active labor. The nurse detects the fetal heart tones above the client's umbilicus at the midline.
Question 5 of 5
Which of the following positions should the nurse suspect the fetus is in?
Correct Answer: D
Rationale: The correct answer is D: Frank breech. In this position, the baby's buttocks are closest to the birth canal, making a vaginal delivery challenging. The other options, A: Cephalic, B: Posterior, and C: Transverse, are all more favorable positions for birth. Cephalic is head-down, the ideal position for birth. Posterior refers to the baby facing the mother's abdomen, which can lead to longer and more painful labors. Transverse means the baby is lying sideways, requiring medical intervention for delivery.