ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in the lateral position is the first action to take for late decelerations, as it improves uteroplacental blood flow by relieving pressure on the inferior vena cava, addressing the likely cause of compromised fetal oxygenation.
Extract:
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr.
Question 2 of 5
Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: B
Rationale: A respiratory rate of 16/min is within the normal range and indicates no respiratory depression, a critical safety parameter for continuing magnesium sulfate therapy, unlike diminished reflexes or bradycardia, which suggest toxicity.
Extract:
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking what part of the exam makes the client nervous invites dialogue, allowing the nurse to address specific concerns and promote client comfort, unlike the other options, which either provide inaccurate information or dismiss the client's anxiety.
Extract:
A nurse is observing a new mother bathing her newborn son for the first time.
Question 4 of 5
For which of the following actions should the nurse intervene?
Correct Answer: A
Rationale: Using a cotton-tipped swab to clean the nares can push debris further or cause injury, requiring intervention, whereas the other actions align with safe newborn care practices.
Extract:
A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new mother states, 'I don't want to take anything for pain because I am breastfeeding.'
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Timing pain medication around breastfeeding minimizes medication transfer to the infant, addressing the mother's concern while managing pain, unlike the other options, which either pressure the client or provide less specific guidance.