ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test.
Question 1 of 5
Which of the following should the nurse include? (Select all that apply)
Correct Answer: C, D, E
Rationale: Fetal motion, fetal breathing, and amniotic fluid volume are evaluated during a biophysical profile to assess fetal well-being. Fetal neck translucency and gender are not part of this test.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Changing the client's position is the first action to take when noting late decelerations in the FHR, as it can help alleviate pressure on the fetus and improve blood flow.
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 maternal serum alpha-fetoprotein (MSAFP) test is a screening test that measures the level of alpha-fetoprotein in the mother's blood during pregnancy. It is used to assess the likelihood of certain birth defects, including neural tube defects such as spina bifida.
Extract:
A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Question 4 of 5
Which of the following observations should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: A urinary output of 40 mL in 2 hours is less than the normal range (at least 30 mL/hour). This could indicate kidney dysfunction, a serious complication of pre-eclampsia, and should be reported.
Extract:
A nurse is caring for a client in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum after the fetal head is birthed.
Question 5 of 5
What potential condition could the client be experiencing?
Correct Answer: A
Rationale: The nurse is observing a potential case of shoulder dystocia, a condition where the baby's head has been delivered but one of the shoulders becomes stuck behind the mother's pelvic bone.