ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Question 1 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.
Extract:
A nurse is caring for a group of patients on an intrapartum unit.
Question 2 of 5
Which of the following findings should be reported to the healthcare provider immediately?
Correct Answer: C
Rationale: A patient with preeclampsia reporting epigastric pain and an unresolved headache indicates severe preeclampsia, which can lead to serious complications like eclampsia if not treated promptly.
Extract:
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram.
Question 3 of 5
Which of the following examples should the nurse use to show appropriate transcription of this dosage?
Correct Answer: A
Rationale: The correct transcription of two tenths of a milligram is 0.2 mg. This format avoids any potential confusion that could lead to a medication error. Trailing zeros (e.g., 0.20 mg) are discouraged to prevent misinterpretation as a higher dose.
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:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 5 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.