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: This is the best response because it acknowledges the client's question and refers her to a healthcare provider who can provide a comprehensive assessment and discuss the most appropriate contraceptive options for her specific situation.
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 2 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:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 3 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks of gestation, the fundus, or top of the uterus, is typically located slightly above the umbilicus.
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor.
Question 4 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:
1. 08:00 - Client reported feeling pressure in the pelvic area. 2. 10:00 - Observed retraction of the fetal head against the maternal perineum. 3. 12:00 - Client reported increased discomfort; breathing exercises initiated. 4. 14:00 - Client's contractions have become more frequent and intense. Diagnostic Results: 1. Ultrasound: Healthy fetus in cephalic presentation. 2. Blood Test: Hemoglobin levels within normal range. 3. Urinalysis: No signs of infection or preeclampsia. 4. Fetal Heart Rate: Consistent with labor progression. Medical History: 1. First pregnancy, no complications. 2. No history of chronic illnesses. 3. No history of surgeries. 4. No known allergies. Vital Signs: 1. 08:00 - BP: 120/80, HR: 80 bpm, Temp: 98.6°F 2. 10:00 - BP: 122/82, HR: 82 bpm, Temp: 98.7°F 3. 12:00 - BP: 124/84, HR: 84 bpm, Temp: 98.8°F 4. 14:00 - BP: 126/86, HR: 86 bpm, Temp: 98.9°F Provider's Prescriptions: 1. Regular monitoring of vital signs. 2. Pain management as needed. 3. Encourage mobility as tolerated. 4. Regular monitoring of fetal heart rate. Physical Examination Results: 1. Cervix fully dilated. 2. Fetus in cephalic presentation. 3. Membranes ruptured. 4. Contractions regular and progressing. A 28-year-old female client is in the second stage of labor in the maternity ward.
Question 5 of 5
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Correct Answer:
Rationale: The client is most likely experiencing normal labor progression. The retraction of the fetal head against the maternal perineum, regular and progressing contractions, and full dilation of the cervix are all signs of normal labor progression.