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: The correct answer is D: Hypoglycemia. This is the priority focus of care in newborns as low blood sugar can lead to serious complications such as seizures and brain damage. Immediate intervention is crucial to prevent long-term harm. Hypomagnesemia, hyperbilirubinemia, and hypocalcemia are important to monitor but are not as urgent as hypoglycemia in newborns. Hypoglycemia requires immediate attention to prevent adverse outcomes, making it the priority over the other choices.
Extract:
A nurse is caring for a client in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum after the fetal head is birthed.
Question 2 of 5
What potential condition could the client be experiencing?
Correct Answer: A
Rationale: The nurse is observing a potential case of shoulder dystocia, a condition where the baby's head has been delivered but one of the shoulders becomes stuck behind the mother's pelvic bone.
Extract:
A nurse in a prenatal clinic is caring for a pregnant client who inquires about her estimated date of birth (EDB). If the client's last menstrual period started on July 27, what would be the client's EDB?
Question 3 of 5
What would be the client's EDB if her last menstrual period started on July 27?
Correct Answer: B
Rationale: Using Nägele's Rule: subtract 3 months from July 27 (April 27), add 7 days (May 4). The EDB in MMDD format is 0504.
Extract:
A patient is in preterm labor at 30 weeks gestation. Her OB orders antenatal steroids. The order is for the nurse to administer betamethasone IM and to repeat the dose after 2 hours. Betamethasone is available as 4mg/mL in 10 mL vials.
Question 4 of 5
How many mL will the nurse draw up in the syringe for each dose?
Correct Answer: D
Rationale: Standard betamethasone dose for preterm labor is 12 mg. 12 mg ÷ 4 mg/mL = 3 mL per dose.
Extract:
A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Question 5 of 5
Which of the following observations should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: A urinary output of 40 mL in 2 hours is less than the normal range (at least 30 mL/hour). This could indicate kidney dysfunction, a serious complication of pre-eclampsia, and should be reported.