ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. A: This response acknowledges the need for a physical examination by a healthcare provider, ensuring appropriate assessment and care.
2. B: Asking about sexual activity before addressing the immediate concern may be intrusive and irrelevant.
3. C: Commenting on age is not helpful and may come across as judgmental or dismissive.
4. D: This response is presumptive and may not address the immediate need for medical attention.
5. E-G: Irrelevant options as they are not provided.
Summary:
Answer A is correct because it emphasizes the importance of seeking help from a healthcare provider for proper evaluation and care. Other choices are incorrect as they either miss the point, are judgmental, or are presumptive.
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 2 of 5
Which of the following medications should the nurse anticipate a prescription from the provider for the client?
Correct Answer: B
Rationale: The correct answer is B: Insulin. Insulin is essential for clients with diabetes who have high blood sugar levels and need to regulate their glucose levels. Repaglinide, Glipizide, and Acarbose are oral antidiabetic medications that work differently from insulin and may not be suitable for clients requiring immediate control over blood sugar levels. Insulin is the most direct and effective way to lower blood sugar levels quickly in emergencies.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 3 of 5
Which of the following explanations about this test should the nurse provide to the client?
Correct Answer: A
Rationale: The correct answer is A because the given test is likely referring to the maternal serum alpha-fetoprotein (MSAFP) screening test. This test is commonly used to screen for neural tube defects and other spinal abnormalities in the fetus. The other choices are incorrect because B is usually assessed through tests like lecithin/sphingomyelin ratio, C is typically identified through Rh factor testing, and D is evaluated through tests like non-stress test or biophysical profile.
Therefore, the most appropriate explanation to provide to the client is that the test is a screening test for spinal defects in the fetus.
Extract:
50 grams of Magnesium sulfate is added to 1L of Lactated Ringers. After giving an initial loading dose, the nurse is to infuse a maintenance dose of 2 gm/hr.
Question 4 of 5
What rate should the IV pump be set at?
Correct Answer: D
Rationale: Concentration: 50 g/1000 mL = 0.05 g/mL = 50 mg/mL. For 2 g/hr (2000 mg/hr): 2000 mg/hr ÷ 50 mg/mL = 40 mL/hr.
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 5 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.