ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. The fetal heart rate (FHR) before birth is 180 beats per minute with limited variability. At birth, the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic.
Question 1 of 5
Based on the maternal history, what is the most likely cause of this newborn's distress?
Correct Answer: C
Rationale: Sepsis is the most likely cause due to the prolonged rupture of membranes, which increases infection risk, leading to symptoms like high FHR, low Apgar scores, pallor, and tachypnea. Hypoglycemia doesn't explain these symptoms; phrenic nerve injury is rare and unilateral; meconium aspiration typically involves low FHR and cyanosis.
Extract:
A preterm newborn.
Question 2 of 5
A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?
Correct Answer: D
Rationale: Clustering care minimizes disruptions, promoting rest and growth. Fingertip touch overstimulation, prone positioning risks SIDS, and bright lighting disrupts circadian development.
Extract:
A premature infant with respiratory distress syndrome (RDS) receives artificial surfactant.
Question 3 of 5
How does the nurse explain surfactant therapy to the parents?
Correct Answer: C
Rationale: Surfactant reduces alveolar surface tension, enhancing oxygen and carbon dioxide exchange. It's not for infections, primarily apnea, or sedation.
Extract:
A client who is in the active phase of the first stage of labor.
Question 4 of 5
A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Contractions lasting over 110 seconds suggest hyperstimulation, risking fetal distress, and should be reported. Normal frequency, intensity, and back pain are expected.
Extract:
A client who is at 38 weeks of gestation and has severe preeclampsia.
Question 5 of 5
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?
Correct Answer: B
Rationale: Headache is expected in severe preeclampsia due to cerebral edema or vasospasm. Polyuria, tachycardia, and absent clonus are not typical; instead, oliguria, bradycardia, and positive clonus may occur.