ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client 6 hours postpartum, saturated perineal pad in 15 minutes.
Question 1 of 5
A nurse is caring for a client who is 6 hours postpartum following a vaginal birth. The client has saturated a perineal pad within 15 minutes. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Massaging the fundus is the first action to address uterine atony, the primary cause of postpartum hemorrhage.
Extract:
Client at 6 weeks gestation requesting to hear fetal heartbeat.
Question 2 of 5
A client, at 6 weeks gestation, arrives at the OB clinic for her initial visit and requests to hear the fetal heartbeat. What should the nurse include in the teaching regarding cardiac development?
Correct Answer: B
Rationale: The fetal heartbeat is detectable by external Doppler around 10-12 weeks, when it is strong enough for detection.
Extract:
Newborn born at 42 weeks of gestation.
Question 3 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:
Postpartum client whose newborn's maternal grandmother was born deaf, asking how to tell if her newborn hears well.
Question 4 of 5
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Routine hearing screenings using objective tests are the most reliable method to assess newborn hearing, ensuring accurate detection of potential issues.
Extract:
38-year-old multigravida at 36 weeks, BP 140/90, pulse 80, respiratory rate 16, suspected preeclampsia.
Question 5 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.