ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
38-year-old multigravida at 36 weeks, BP 140/90, pulse 80, respiratory rate 16, suspected preeclampsia.
Question 1 of 5
A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation. Assessment findings include: blood pressure 140/90 mm Hg; pulse, 80 beats/min; respiratory rate, 16 breaths/min. The nurse suspects preeclampsia. What additional finding would the nurse assess for?
Correct Answer: C
Rationale: Proteinuria is a key diagnostic criterion for preeclampsia, indicating kidney involvement alongside elevated blood pressure.
Extract:
Client who experienced a precipitous labor.
Question 2 of 5
You admitted a client who experienced a precipitous labor. What is the highest concern for maternal complication related to this type of labor?
Correct Answer: B
Rationale: Precipitous labor increases the risk of postpartum hemorrhage due to rapid, forceful contractions that may lead to uterine atony, causing excessive bleeding post-delivery.
Extract:
Client in labor with external fetal monitoring, FHR slows at contraction start, nadir at contraction peak, returns to baseline at contraction end.
Question 3 of 5
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 at the start of a contraction and the nadir is at the same time as the peak of the contraction. The FHR returns to the FHR baseline at the same time that the contraction ends. The nurse should document this finding as which of the following?
Correct Answer: C
Rationale: Early decelerations mirror contractions, with nadir at the peak, typically benign and due to fetal head compression.
Extract:
Newborn born at 42 weeks of gestation.
Question 4 of 5
A nurse is assessing a newborn who was born at 42 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Dry, cracked skin is common in post-term newborns due to prolonged exposure to amniotic fluid, reducing vernix and causing skin changes.
Extract:
Newly licensed nurses learning about preventing TORCH infections.
Question 5 of 5
A nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which statement by the nurse indicates understanding of the teaching?
Correct Answer: B
Rationale: Avoiding cat litter prevents toxoplasmosis, a TORCH infection that can cause severe fetal harm.