ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is reviewing the electronic medical record of a postpartum client.
Question 1 of 5
Which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: A midline episiotomy increases infection risk due to the surgical incision providing a potential entry for bacteria. Meconium-stained fluid, gestational hypertension, and placenta previa do not directly correlate with maternal postpartum infection risk.
Extract:
A nurse in a newborn nursery is receiving change-of-shift report for four newborns.
Question 2 of 5
Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: New onset tachypnea (respiratory rate >60/min) in a 10-hour-old newborn suggests respiratory distress or serious conditions like sepsis, requiring immediate assessment. Feeding issues, delayed meconium, and blood-tinged discharge are less urgent.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A postpartum client needs a diaphragm refit due to vaginal changes after delivery to ensure effectiveness. Gentle soap is correct but not the priority, the diaphragm should stay in for 6 hours, and oil-based lubricants damage it.
Extract:
A nurse is assessing the results of a nonstress test for an antepartum client at 35 weeks of gestation.
Question 4 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: A
Rationale: Three fetal movements in 20 minutes is insufficient for a reactive nonstress test, which requires at least two accelerations in fetal heart rate, indicating the need for further testing. No late decelerations, a heart rate increase, and irregular contractions are normal or non-concerning findings.
Extract:
A nurse is performing an assessment of a newborn's Babinski reflex.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The Babinski reflex in newborns shows eversion (fanning) of the great toe with stroking the sole, a normal finding. Forearm flexion, toe curling, or leg extension are not associated with this reflex.