ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
25-year-old, Gravida 1 Para 1, breastfeeding, newborn with 5% weight loss, full warm breasts, correct breastfeeding techniques, feeding 8-12 times/day.
Question 1 of 5
A nurse is caring for a 25-year-old postpartum female client who had a spontaneous vaginal birth at 39 weeks of gestation in the postpartum unit. Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,E,F
Rationale: Feeding 8-12 times/day, expecting stool color change, and recognizing milk coming in show understanding of breastfeeding teaching.
Extract:
32-year-old, Gravida 3 Para 2, 32 weeks gestation, penicillin allergy, 6 lb weight gain, headache, blurred vision, dizziness, 2+ pitting edema, 3+ reflexes, FHT 148/min, BP 179/99, 168/104, 170/101.
Question 2 of 5
A nurse in a provider's office is caring for a 32-year-old female client who is pregnant. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: A,B,C,E
Rationale: Rapid weight gain, visual disturbances, elevated blood pressure, and hyperactive reflexes suggest preeclampsia, requiring provider attention.
Extract:
28-year-old, 38 weeks gestation, decreased fetal movement, FHR 140 bpm, moderate variability, no accelerations or decelerations.
Question 3 of 5
A nurse is caring for a 28-year-old pregnant female client at 38 weeks gestation who arrived to the OB triage unit with complaints of decreased fetal movement. The nurse assesses the NonStress Test (NST) and documents the results as ___. The nurse contacts the provider and reports the NST results. The nurse anticipates an order for a ___.
Correct Answer: A
Rationale: A non-reactive NST (no accelerations) prompts a biophysical profile to further assess fetal well-being.
Extract:
Newborn, 4 hours old, 41 weeks, 4423 gm, vacuum-assisted birth, 45-second shoulder dystocia, maternal marijuana use, large caput succedaneum, asymmetrical Moro reflex.
Question 4 of 5
A nurse is caring for a newborn who is 4 hours old in the newborn unit. Complete the following sentence by using the list of options: The newborn most likely has ___ as evidenced by ___.
Correct Answer: A
Rationale: Asymmetrical Moro reflex suggests brachial plexus injury, common in shoulder dystocia and vacuum-assisted births.
Extract:
Client in labor, B Rh-negative, uterine tenderness, variable FHR decelerations, BP 130/82, temperature 37.7°C.
Question 5 of 5
A nurse is caring for a female client in labor in the labor and delivery unit. Complete the following Bowtie question by selecting 1 condition, 2 parameters to monitor, and 2 actions to take.
Correct Answer: A
Rationale: Variable decelerations and uterine tenderness suggest umbilical cord compression, requiring position changes and continuous fetal monitoring.