ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is 4 hours postpartum following a vaginal delivery
Question 1 of 5
Which of the following findings should the nurse prioritize?
Correct Answer: B
Rationale: A saturated perineal pad in 30 minutes indicates excessive bleeding, suggestive of postpartum hemorrhage, a life-threatening condition requiring immediate intervention. Fundus at the umbilicus is normal at this stage, approximated episiotomy edges are expected, and 4+ reflexes may suggest preeclampsia but are less urgent in the postpartum period.
Extract:
A newborn immediately after birth
Question 2 of 5
Once a patent airway has been ensured, what should be the nurse's priority action?
Correct Answer: D
Rationale: Drying the skin prevents hypothermia due to evaporation of amniotic fluid, a critical immediate need to maintain thermoregulation. Vitamin K, eye prophylaxis, and identification are important but not as urgent as preventing heat loss.
Extract:
A client with preeclampsia who is being treated with IV magnesium sulfate, respiratory rate is 10/min, deep-tendon reflexes are absent
Question 3 of 5
What action should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium toxicity, requiring immediate discontinuation of the infusion to prevent respiratory depression or cardiac arrest. Cesarean preparation, Trendelenburg positioning, and glucose assessment are not indicated for magnesium toxicity.
Extract:
A client who is 2 days postpartum, is breastfeeding, and reports nipple soreness
Question 4 of 5
Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: A,B,C
Rationale: A: Starting with the less sore nipple reduces pain as the infant sucks more vigorously initially. B: Changing positions distributes pressure, preventing further irritation. C: Breast milk has antibacterial properties that soothe and heal sore nipples. D: Massaging may increase irritation. E: Breast pads manage leakage but do not directly reduce soreness.
Extract:
A client who is a primigravida, at term, and having contractions but is unsure if she is in labor
Question 5 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: Changes in the cervix (effacement and dilation) are the definitive signs of true labor, distinguishing it from false labor. Contraction patterns, membrane rupture, and station changes are not specific to true labor.