ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is teaching a client who is at 23 weeks of gestation about immunizations.
Question 1 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during pregnancy to protect mother and baby, unlike rubella (safe in breastfeeding), varicella (avoided in pregnancy), or Tdap (given in pregnancy).
Extract:
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer.
Question 2 of 5
Which of the following is the correct interpretation of this data?
Correct Answer: D
Rationale: A negative rubella titer indicates no immunity, requiring immunization post-delivery to protect future pregnancies, as vaccination during pregnancy is contraindicated.
Extract:
A nurse is caring for a client who is 6 hours postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider.
Question 3 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The indirect Coombs test detects maternal antibodies that could cause hemolytic disease in an Rh-positive newborn, unlike newborn antibody tests, kernicterus risk, or maternal antibodies in the newborn.
Extract:
A nurse is caring for several clients.
Question 4 of 5
The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: D
Rationale:
Tocolytic therapy is safe and appropriate for preterm labor at 26 weeks to delay delivery and enhance fetal lung maturity, unlike post-term pregnancy, Braxton-Hicks contractions, or fetal death, where it is not indicated.
Extract:
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.
Question 5 of 5
Which of the following should the infant receive?
Correct Answer: B
Rationale: Newborns of hepatitis B-positive mothers should receive HBIG and hepatitis B vaccine within 12 hours to prevent infection, unlike delayed or incorrect schedules.