ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who is 56 hours old, awake, alert, crying, pink with acrocyanosis, respiratory rate 70/min, no retractions, grunting, or nasal flaring, jitteriness in hands, poor feeding, poor suck, loose stool
Question 1 of 5
Which of the following assessment findings is consistent with neonatal abstinence syndrome (NAS)?
Correct Answer: D
Rationale: Jitteriness, along with poor feeding and loose stools, is consistent with NAS, indicating opioid withdrawal. Other findings are normal or non-specific.
Extract:
A newborn
Question 2 of 5
Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?
Correct Answer: A
Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to obstruction at the pylorus. Bowel sounds are present, sodium levels are typically low, and the mass is in the right upper quadrant.
Extract:
A client who gave birth 2 hours ago, blood pressure is 60/50 mm Hg
Question 3 of 5
What should be the nurse's first action?
Correct Answer: A
Rationale: Evaluating uterine firmness assesses for uterine atony, a common cause of postpartum hemorrhage leading to hypotension. Oxytocin, blood typing, and oxygen are secondary actions after confirming the cause of low blood pressure.
Extract:
A client reporting severe abdominal pain in the left lower quadrant, provider suspects a ruptured ectopic pregnancy
Question 4 of 5
Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign (periumbilical bruising) indicates intraperitoneal bleeding, consistent with a ruptured ectopic pregnancy. Other signs relate to pregnancy or hypocalcemia.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes, has respiratory distress syndrome
Question 5 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia in infants of diabetic mothers increases oxygen demand and delays lung maturation, contributing to respiratory distress syndrome. Viscosity, injuries, and fat deposits are not primary causes.