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: The correct answer is D: Frank breech. In this position, the baby's buttocks are closest to the birth canal, making a vaginal delivery challenging. The other options, A: Cephalic, B: Posterior, and C: Transverse, are all more favorable positions for birth. Cephalic is head-down, the ideal position for birth. Posterior refers to the baby facing the mother's abdomen, which can lead to longer and more painful labors. Transverse means the baby is lying sideways, requiring medical intervention for delivery.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 2 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: The correct answer is D, slightly above the umbilicus. This is the expected location to palpate the fundus immediately after childbirth. Fundal height corresponds with the number of weeks postpartum, so it should be around the level of the umbilicus within 12 hours postpartum and gradually decrease over the following days. Option A is too high for immediate postpartum, and option B is too low. Option C is incorrect as it suggests the fundus is below the umbilicus, which is not expected.
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 nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 4 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: D
Rationale: The correct answer is D: Hyperinsulinemia. Respiratory distress can be a symptom of hyperinsulinemia due to its association with conditions like diabetic ketoacidosis or hyperglycemic hyperosmolar state. High insulin levels can lead to respiratory alkalosis, causing rapid, shallow breathing. Increased fat deposits (choice
A) primarily affect mobility and not directly respiratory function. Brachial plexus injury (choice
B) would not typically cause respiratory distress. Increased blood viscosity (choice
C) could lead to cardiovascular issues but not directly impact respiratory function. In summary, hyperinsulinemia is the most likely cause of respiratory distress as it can directly affect breathing patterns.
Extract:
A nurse is caring for a client who is 34 weeks pregnant.
Question 5 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: The correct action is to implement seizure precautions (choice
A) because the client is most likely experiencing a condition that predisposes them to seizures. Seizure precautions aim to prevent injury during a seizure episode. Checking deep tendon reflexes (choice
B) every hour is not the priority in this situation as it does not directly address the potential for seizures. Administering methyldopa (choice
C) is not appropriate without further assessment. Monitoring neurologic status (choice
D) is important but does not directly address preventing seizures.