ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 1 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 caring for a client who is at 34 weeks of gestation. The client reports headache, dizziness, and blurred vision for 1 week. The nurse notes 3+ edema in lower extremities and deep tendon reflexes (DTRs) 3+ with positive clonus. The fetal heart rate (FHR) is 140 with minimal variability.
Question 2 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client's symptoms of headache, dizziness, blurred vision, 3+ edema in lower extremities, deep tendon reflexes (DTRs) 3+ with positive clonus, and a fetal heart rate (FHR) of 140 with minimal variability are indicative of preeclampsia.
Extract:
In the context of diabetes incidence and classification, which statement should maternity nurses be aware of?
Question 3 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.
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 4 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.
Extract:
As a nurse in an antepartum unit performing triage, which client should be prioritized?
Question 5 of 5
Which client should be prioritized?
Correct Answer: B
Rationale: A client at 28 weeks of gestation reporting painless vaginal bleeding could be experiencing placenta previa or placental abruption, both obstetric emergencies requiring immediate evaluation.