ATI Maternal Newborn 2023

Extract:

A nurse is admitting a patient with severe pre-eclampsia at 35 weeks of gestation and is reviewing the provider's orders.

Question 1 of 5

Which of the following orders requires clarification?

A. Assess deep tendon reflexes every hour B. Continuous fetal monitoring C. Ambulate twice daily D. Obtain a daily weight

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:

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?

Question 2 of 5

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?

A. Baseline BP 140/85, current BP 129/80 B. Baseline BP 110/70, current BP 145/85 C. Baseline BP 120/80, current BP 126/85 D. Baseline BP 110/60, current BP 120/63

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 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?

A. The cervix is effaced 1 cm B. The presenting part is 1 cm below the ischial spines C. The presenting part is 1 cm above the ischial spines D. The cervix is 1 cm dilated

Correct Answer: C

Rationale: The documentation â€œ-1â€ in a vaginal examination indicates that the presenting part is 1 cm above the ischial spines, a common finding during labor.

Extract:

In the context of diabetes incidence and classification, which statement should maternity nurses be aware of?

Question 4 of 5

Which statement should maternity nurses be aware of?

A. Type 1 diabetes is the most prevalent. B. Type 2 diabetes often remains undiagnosed. C. Type 1 diabetes can transition to type 2 during pregnancy. D. Gestational diabetes mellitus (GDM) implies that the woman will require insulin treatment until 6 weeks postpartum.

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:

As a nurse in an antepartum unit performing triage, which client should be prioritized?

Question 5 of 5

Which client should be prioritized?

A. A client who has missed a menstrual cycle and reports vaginal spotting. B. A client who is at 28 weeks of gestation and reports painless vaginal bleeding. C. A client who is at 38 weeks of gestation and reports symptoms of a cough and fever. D. A client who is at 14 weeks of gestation and reports experiencing nausea and vomiting.

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.

ATI Maternal Newborn 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN