ATI RN
ATI Maternal Newborn 2023 Questions
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 1 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.
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 2 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).
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.
Question 3 of 5
What is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to allow rapid administration of fluids and medications to stabilize the client's condition, likely due to placenta previa causing significant bleeding.
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Question 4 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: A significant increase in blood pressure from a baseline of 110/70 mmHg to a current BP of 145/85 mmHg could indicate a risk for pregnancy-induced hypertension.
Extract:
In the context of diabetes incidence and classification, which statement should maternity nurses be aware of?
Question 5 of 5
Which statement should maternity nurses be aware of?
Correct Answer: B
Rationale: Type 2 diabetes often remains undiagnosed because its symptoms can be subtle and develop slowly, which is critical for maternity nurses to recognize.