ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 1 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 first-time pregnant woman who is at term. She is experiencing contractions but is unsure if she is in labor.
Question 2 of 5
Which of the following should the nurse identify as a labor sign?
Correct Answer: D
Rationale: Changes in the cervix, including effacement (thinning) and dilation (opening), are reliable signs of true labor. During true labor, contractions cause the cervix to thin and open to prepare for the passage of the baby.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 3 of 5
Which of the following newborn complications should the nurse recognize as the priority focus of care?
Correct Answer: D
Rationale: Hypoglycemia is the priority focus of care for a newborn with macrosomia born to a mother with diabetes mellitus. The infant's high insulin levels, developed in response to maternal hyperglycemia, can cause a rapid drop in blood sugar after birth.
Extract:
A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.
Question 4 of 5
What should be the nurse's priority action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action to improve uteroplacental blood flow and address late decelerations, which indicate uteroplacental insufficiency.
Extract:
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
Question 5 of 5
What is her gravidity and parity using the GTPAL System?
Correct Answer: A
Rationale: G4 (4 pregnancies), T1 (1 term birth at 39 weeks), P2 (2 preterm births: twins at 34 weeks, 1 at 35 weeks), A0 (no abortions), L3 (3 living children from previous pregnancies).