ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A patient who experienced a vaginal birth 3 hours ago, fundus displaced to the right, firm, two fingerbreadths above the umbilicus
Question 1 of 5
What actions should the nurse complete at this time?
Correct Answer: C
Rationale: A displaced, firm fundus suggests a full bladder; having the patient urinate corrects displacement. Catheterization, massage, and analgesics are unnecessary with a firm fundus.
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios
Question 2 of 5
What does this diagnosis mean?
Correct Answer: C
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to fetal anomalies or maternal conditions like diabetes. It is not directly caused by multiple fetuses, congenital anomalies alone, or elevated AFP.
Extract:
A client who is in active labor and notes late decelerations in the FHR
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Changing the client's position (e.g., to the side) is the first action to improve uteroplacental blood flow and fetal oxygenation, addressing late decelerations caused by reduced placental perfusion. Oxygen, scalp electrode, and IV rate adjustments are secondary actions.
Extract:
A client who is 4 hours postpartum following a vaginal delivery
Question 4 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 patient who is 36 hours postpartum, breasts soft, warm, tender, no nipple discomfort, fundus boggy, 1 cm above umbilicus, deviated to right, becomes firm with massage, pain 4/10, moderate lochia rubra, voided 250 mL, fundus midline after voiding
Question 5 of 5
Which of the following complications pose a greater risk for the patient?
Correct Answer: C
Rationale: A boggy uterus indicates uterine atony, risking postpartum hemorrhage, the greatest concern. Clots, pain, and engorgement are less critical based on the findings.