ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 1 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical changes (effacement and dilation) are the most reliable sign of true labor, unlike contraction patterns, station, or membrane rupture, which are less definitive.
Extract:
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are hard and warm to palpation.
Question 2 of 5
Which of the following interpretations of these findings should the nurse make?
Correct Answer: B
Rationale: The findings are normal for 3 days postpartum (involuting uterus, moderate lochia, engorged breasts), requiring no additional interventions, unlike mastitis, which includes fever, or the need for bra removal or heat.
Extract:
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA).
Question 3 of 5
Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: A
Rationale: SGA newborns are at risk for meconium aspiration syndrome, so observing for meconium in respiratory secretions is critical, unlike monitoring for hyperglycemia, hyperthermia, or anemia, which are less immediate concerns.
Extract:
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A boggy fundus displaced to the right often indicates a full bladder, so assisting the client to void is the appropriate action to promote uterine contraction and prevent hemorrhage.
Extract:
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 5 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Placing the client in the knee-chest position is the first action for cord prolapse, relieving pressure to restore fetal oxygenation, unlike covering, manual relief, or delivery prep.