2023-2024 ATI RN Practice Exam with Answers (76 Solved Questions)

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VATI RN Maternal Newborn 2023/2024GRADED A 150 QUESTIONS ANDANSWERSWITH RATIONALEA charge nurse is teaching a newly licensed nurse about substance use disorders duringpregnancy. Which of the following statements by the newly licensed nurse indicates anunderstanding of the teaching?-CORRECT ANSWEREncourage client who are prescribedmethadone to breastfeed.-The nurse should encourage clients who are prescribed methadone during pregnancy tobreastfeed their newborns to help with withdrawal symptoms.A nurse is caring for a client who received terbutaline subcutaneously. Which of the followingfindings is an indication the medication was effective?-CORRECT ANSWERDecreasedfrequency of contractions.-Terbutaline is a tocolytic medication that is used to halt preterm labor. Terbutaline causerelaxation of smooth muscle, which decrease uterine activity. Therefore, the nurse shouldidentify that a decrease in frequency of contractions is an indication that terbutaline waseffective.A charge nurse is discussing care of clients who are in labor with a newly licensed nurse. Whichof the following actions should the charge nurse include in the teaching regarding situationsrequiring an amniotomy?-CORRECT ANSWERPlacing a fetal scalp electrode.-A fetal scalp electrode is attached to the presenting part of the fetus in order to provideaccurate continuous monitoring of the fetal heart rate. If the client's membranes are intact, theamniotic sac must be artificially ruptured prior to attaching theelectrode to enable access tothe presenting part.A nurse is reviewing the medical record of a client who has preeclampsia prior to administeringlabetalol. For which of the following findings should the nurse withhold the medication?-CORRECT ANSWERHeart rate 54/min

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-The nurse should identify that a heart rate of 54/min is below the expected reference range of60 to 100/min. During pregnancy, the heart rate increases 10 to 15/min due to increased bloodvolume and increase tissue demands for oxygen. Bradycardia is a contraindication for theadministration of labetalol, an antihypertensive medication. Therefore, the nurse shouldwithhold the medication and notify the provider.A nurse is caring for a client who is at 30 weeks of gestation and observes the client chokingwhile eating lunch. The client is unable to speak or cough. Identify the sequence of steps thenurse should take to clear the airway obstruction.-CORRECT ANSWER1. Stand posterior tothe client.2. Position arms under the client's axilla and across the client's chest.3. Place thumb-side of a clenched fist to the client's mid-sternum area.4. Initiate chest thrust to the client using a backward motion.-If the client becomes unconscious, the nurse should perform CPR and activateemergencymedical services.A nurse is preparing to administer an opioid analgesic to a client who is in active labor. Which ofthe following assessments should the nurse perform? (SATA)-CORRECT ANSWERMaternalblood pressure.-Opioid analgesic cancause hypotension. The nurse should assess the clients blood pressurebefore and after administering opioids.Pain level.-The nurse should assess the clients baseline pain level prior to administering pain medicationand again after administering pain medication to determine the effectiveness of the medication.Opioid analgesic are indicated for the relief of moderate to sever labor pain.Fetal heart rate.-Opioid analgesics can cause fetal bradycardia and changes in variability. The nurse shouldassess the fetal heart rate prior to administering an opioid analgesic to ensure the rate is withinthe expedited reference range and to have a baseline for future assessments. The nurse shouldprovide ongoing assessments of fetal heart rate throughout labor according to facility protocol.

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A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which of thefollowing findings should the nurse identify as a risk factor for developing preeclampsia?-CORRECT ANSWERRheumatoid Arthritis.-The presence of a connective tissue disease, such as rheumatoid arthritis or systemic lupuserythematosus, increase a clients risk for developing preeclampsia.A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin fordeep-vein thrombosis. Which of the following laboratory tests should the nurse monitor?-CORRECT ANSWERInternational normalized ratio (INR).-The nurse should monitor the INR of a client who is taking warfarin. Prothrombin time(PT) isalso measure to regulate warfarin therapy. However, PT values are more difficult to interpret.INR determined by multiplying the PT by a correction factor based on the specificthromboplastin preparation used for the test, as a way of equalizing laboratory to laboratoryvariations.A nurse is monitoring a client who is in the active phase of labor and has an intrauterinepressure catheter and fetal scalp electrode. Which of the following findings should the nurseexpect?-CORRECT ANSWERMontevideo units (MVU)of 220 mm Hg.-The nurse should identify that an MVU of 220 mm Hg is within the expected range during theactive phase of labor. MVUs generally range between 100 to 250 mm Hg during the first stage oflabor and increase to 300 to 400 mm Hg during the second stage of labor. MVUs are calculatedby subtracting the baseline uterine pressure from the peak contraction pressure for everycontraction that occurs during a 10-min period. The nurse then adds the pressure produced byeach contraction during that timeto determine the MVUs.A nurse is assessing a client who has just undergone a cesarean birth and was given epiduralmorphine for postpartum pain relief 1hr ago. The nurse notes that the clients respiratory rate is10/min. Which of the following actions should the nurse take first?-CORRECT ANSWERAdminister oxygen by nonrebreather face mask.-The first action the nurse should take when using the airway, breathing, circulation approach toclient care is to administer oxygen by nonrebreather mask to treat manifestations of respiratorydepression due to morphine administration.

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A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which ofthe following clinical findings should the nurse expect?-CORRECT ANSWERPainless vaginalbleeding.-The placenta implants in the lower uterine segment,partially or completely covering the cervix.With cervical changes, the placental blood vessels can tear, which results in bleeding.A nurse is assessing a client who is at 33wks of gestation. Which of the following findings shouldthe nurse report to theprovider?-CORRECT ANSWEREpisodes of blurred vision.-Blurred vision is a manifestation of preeclampsia. Arterial vasospasms and decreased perfusionto the retina cause visual disturbances, such as blurred vision, double vision, or dark spots in thevisual field.A nurse is assessing a client who is at 8wks of gestation and has hyperemesis gravidarum. Whichof the following are findings of this condition? (SATA)-CORRECT ANSWER1. Tachycardia.-Hyperemesis gravidarum typically occurs during thefirst trimester and results in electrolyteimbalance, excessive weight loss, ketonuria, and nutritional deficiencies.2. Dry mucous membranes.3. Poor skin turgor.A nurse is reviewing the laboratory results for a client who is at 29wks of gestation. Which ofthe following results should the nurse identify as an indication of a prenatal complication?-CORRECT ANSWERBUN 30 mg/dL-Above the expected reference range of 10-20 mg/dL for a client who is pregnant. The BUNtypically decreases during pregnancy due to the increase in the glomerular filtration rate. Thenurse should identify that an elevated BUN is a manifestation of preeclampsia or HELLPsyndrome, potentially serous complications of pregnancy's.A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min.The clients skin is cool and clammy to touch. Which of the following actions should the nursetake first?-CORRECT ANSWERFirmly massage the fundus.-The greatest risk for a postpartum client who is experiencing excessive vaginal bleeding is thedevelopment of hypovolemic shock, which can lead to coma and death. Uterine atony is afrequent cause of excessive vaginal bleeding. Therefore, the first action the nurse should take is

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to massage the clients fundus to encourage muscular contractions, which will decreasebleeding.A nurse is caring for a client who is at 28wks of gestation and has received two doses ofterbutaline subcutaneously. Which of the following adverse effects is the priority for the nurseto report to the provider?-CORRECT ANSWERHeart rate: 132/min-The nurse should notify the provider of tachycardia greater than 130/min; therefore, this is thepriority finding. The client might also report chest discomfort, palpitations and havearrhythmias.A nurse is providing teaching for a client who is 2wks postpartum and has mastitis. Which of thefollowing instructions should the nurse include in the teaching?-CORRECT ANSWERApplymoist heat to the affected breast.-The application ofwarm compresses prior to feeding or pumping promotes the flow of thebreast milk and assists to ensure complete emptying of the breast. This is important to preventthe development of further complications such as the formation of a breast abscess or chronicmastitis.A nurse is teaching routine prenatal care to a group of clients who are pregnant. Which of thefollowing statements by a client indicates an understanding of the teaching?-CORRECTANSWERI will have monthly prenatal visits for the first28wks of pregnancy.-The initial visit should occur in the first trimester with monthly visits through week 28, andevery 2 weeks until week 36, and then every week until the birth of the newborn.A nurse is providing client teaching regarding an intrauterine device (IUD). Which of thefollowing statements should the nurse include in the teaching? (SATA)-CORRECT ANSWER1.You might have to have cultures for sexually transmitted infections prior to placement of thedevice.-If the provider determinesthe client is at risk of STI they might require the collection ofcultures for STI prior to the placement of the IUD.2. You might experience irregular spotting the first few months after placement of the device.3. You will need to sign informed consent prior to the procedure.

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