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: The correct answer is B: Insulin. Insulin is essential for clients with diabetes who have high blood sugar levels and need to regulate their glucose levels. Repaglinide, Glipizide, and Acarbose are oral antidiabetic medications that work differently from insulin and may not be suitable for clients requiring immediate control over blood sugar levels. Insulin is the most direct and effective way to lower blood sugar levels quickly in emergencies.
Extract:
A nurse is admitting a patient with severe pre-eclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 2 of 5
Which of the following orders requires clarification?
Correct Answer: C
Rationale: Ambulating twice daily may not be appropriate for a patient with severe pre-eclampsia at 35 weeks of gestation. Bed rest is often recommended to help lower blood pressure and reduce the risk of complications.
Extract:
The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?
Question 3 of 5
Which hormone is essential for maintaining pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Progesterone. Progesterone is essential for maintaining pregnancy as it helps prepare the uterus for implantation and supports the growth of the placenta. It also inhibits contractions of the uterine muscles, preventing premature labor. Estrogen (
A) plays a role in preparing the uterus for pregnancy, but progesterone is crucial for maintaining it. Oxytocin (
B) stimulates uterine contractions during labor, not for maintaining pregnancy. Human chorionic gonadotropin (hCG) (
C) is produced during pregnancy but its main function is to support the corpus luteum in the early stages, not to maintain pregnancy.
Extract:
A nurse is providing care for a patient who is at 34 weeks of gestation. The nurse is reviewing the patient's electronic medical record to develop a plan of care.
Question 4 of 5
Which condition is the patient most likely experiencing?
Correct Answer: A
Rationale: Preeclampsia is likely given the gestational age and context, requiring seizure precautions and monitoring of neurological status and liver function due to risks of eclampsia and organ damage.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 5 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: The correct answer is D, slightly above the umbilicus. This is the expected location to palpate the fundus immediately after childbirth. Fundal height corresponds with the number of weeks postpartum, so it should be around the level of the umbilicus within 12 hours postpartum and gradually decrease over the following days. Option A is too high for immediate postpartum, and option B is too low. Option C is incorrect as it suggests the fundus is below the umbilicus, which is not expected.