ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 1 of 5
Which of the following medications should the nurse anticipate a prescription from the provider for the client?
Correct Answer: B
Rationale: Insulin is the most common medication used to control blood sugar levels in pregnant women, especially those unable to control their gestational diabetes with diet and exercise. Oral medications like repaglinide, glipizide, and acarbose are not typically used in pregnancy due to potential fetal risks.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 2 of 5
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations on the monitor strip during labor are indicative of uteroplacental insufficiency. This condition means that the placenta is not providing enough oxygen to the fetus.
Extract:
A nurse on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as: -1.
Question 3 of 5
Which of the following interpretations of this finding should the nurse make?
Correct Answer: C
Rationale: The documentation “-1†in a vaginal examination indicates that the presenting part is 1 cm above the ischial spines, a common finding during labor.
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor.
Question 4 of 5
Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A blood pressure of 80/56 mm Hg is the priority, indicating hypotension, a known side effect of epidural analgesia that can compromise maternal and fetal perfusion.
Extract:
A patient's lab results are as follows: BUN level is 8 mg/dL, Hemoglobin is 15 g/dL, Hematocrit is 47%, WBC count is 9,000/mm, Platelet count is 140,000/mm, Creatinine is 1.3 mg/dL, Bilirubin is 20 mg/dL, Aspartate aminotransferase (AST) is 36 units/L, and Alanine aminotransferase (ALT) is 40 units/L.
Question 5 of 5
What actions should be taken?
Correct Answer: C
Rationale: The bilirubin level of 20 mg/dL is significantly elevated (normal is 0.1-1.2 mg/dL), suggesting liver dysfunction or hemolysis, which requires further investigation. Reviewing daily logs helps monitor trends, but the provider should be notified of the bilirubin level.