ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. The nurse should expect pelvic pain in a patient with an ectopic pregnancy. This is because as the ectopic pregnancy grows outside the uterus, it can cause pain in the pelvic area. Copious vaginal bleeding (choice
A) is more commonly associated with miscarriage or placental abruption. Severe nausea and vomiting (choice
C) can occur in normal pregnancy or conditions like hyperemesis gravidarum, but it is not specific to ectopic pregnancy. Uterine enlargement greater than expected for gestational age (choice
D) would typically be seen in intrauterine pregnancies, not ectopic pregnancies.
Extract:
A newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 2 of 5
Which of the following complications should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Newborn hypoglycemia. This should be included as a potential complication because infants born to diabetic mothers are at risk for hypoglycemia due to hyperinsulinemia in utero. Monitoring blood glucose levels and providing prompt treatment is crucial to prevent complications. Placenta previa (
A) refers to the abnormal implantation of the placenta, which is not directly related to maternal diabetes. Oligohydramnios (
B) is a condition characterized by a low level of amniotic fluid and is not a direct complication of maternal diabetes. Small for gestational age newborn (
C) is a concern in pregnancies complicated by maternal diabetes, but it is not the most critical complication.
Extract:
A client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 145 mg/dL to 162 mg/dL over the past week.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reinforce instruction about insulin administration. This is the most appropriate action as it directly addresses the management of diabetes by ensuring proper insulin dosage and administration. This is crucial for controlling blood sugar levels. Option A is incorrect because increasing carbohydrates may worsen blood sugar control. Option C is unnecessary as the client likely already has a diagnosis of diabetes. Option D is not the immediate priority as it measures long-term glucose control, not immediate insulin administration.
Extract:
A client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to position the client on her side (
Choice
A). This is because positioning the client on her side helps prevent aspiration in case of vomiting and promotes optimal lung expansion for better oxygenation. It also helps in maintaining a patent airway. Increasing the infusion rate of IV fluid (
Choice
B) may exacerbate fluid overload and is not a priority. Elevating the client's legs (
Choice
C) is not indicated unless specifically ordered for a particular condition. Administering oxygen via face mask (
Choice
D) may be necessary but ensuring a patent airway and preventing aspiration takes precedence.
Extract:
A client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity.
Question 5 of 5
Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: C
Rationale: The correct answer is C: Lecithin/sphingomyelin (L/S) ratio of 2:1 indicates fetal lung maturity. This ratio reflects the presence of surfactant in the amniotic fluid, which is crucial for lung expansion and gas exchange. A ratio of 2:1 suggests that the fetal lungs are producing enough surfactant, indicating maturity. Absence of phosphatidylglycerol (choice
A) is a sign of immaturity. Biophysical profile score (choice
B) and nonstress test (choice
D) are assessments of fetal well-being, not lung maturity.