ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is 39 weeks pregnant and in active labor. The nurse detects the fetal heart tones above the client's umbilicus at the midline.
Question 1 of 5
Which of the following positions should the nurse suspect the fetus is in?
Correct Answer: D
Rationale: In a frank breech position, fetal heart tones are usually heard above the umbilicus, as the fetal head is positioned in the upper uterus.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 2 of 5
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations on the monitor strip during labor are indicative of uteroplacental insufficiency. This condition means that the placenta is not providing enough oxygen to the fetus.
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor.
Question 3 of 5
Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A blood pressure of 80/56 mm Hg is the priority, indicating hypotension, a known side effect of epidural analgesia that can compromise maternal and fetal perfusion.
Extract:
A nurse is caring for a client who is 34 weeks pregnant.
Question 4 of 5
The nurse should take which of the following actions to address the condition the client is most likely experiencing?
Correct Answer: A
Rationale: Given the client is at 34 weeks and likely experiencing preeclampsia (based on context), implementing seizure precautions is appropriate due to the risk of eclampsia.
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 5 of 5
Which of the following medications should the nurse anticipate a prescription from the provider for the client?
Correct Answer: B
Rationale: Insulin is the most common medication used to control blood sugar levels in pregnant women, especially those unable to control their gestational diabetes with diet and exercise. Oral medications like repaglinide, glipizide, and acarbose are not typically used in pregnancy due to potential fetal risks.