ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
An antepartal client at 35 weeks of gestation
Question 1 of 5
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: D
Rationale: Irregular, unfelt contractions suggest possible uterine hyperstimulation, warranting further testing for fetal distress. Fetal movements, no decelerations, and heart rate increase are reassuring.
Extract:
A newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy
Question 2 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: D
Rationale: Congenital CMV commonly causes hearing loss in newborns. Macrosomia, cataracts, and urinary infections are not typical CMV manifestations.
Extract:
A newborn's Babinski reflex
Question 3 of 5
A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Dorsiflexion of the great toe is the normal Babinski reflex in newborns, persisting until about age 2. Other responses indicate abnormal reflexes.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 4 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Cleansing with povidone-iodine prevents infection at the leaking myelomeningocele site, the priority action. Monitoring, antibiotics, or delayed surgery are secondary.
Extract:
A client at risk for postpartum hemorrhage
Question 5 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: B
Rationale: Retained placental fragments prevent uterine contraction, leading to hemorrhage. Hypertension, oligohydramnios, and meconium do not directly cause postpartum bleeding.