ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Primigravida client at term, having contractions, unsure if in labor
Question 1 of 5
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.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Changes in the cervix, such as effacement and dilation, are the most accurate indicators of true labor, caused by contractions and fetal pressure.
Extract:
Early postpartum woman
Question 2 of 5
Which maternal event is abnormal in the early postpartum period?
Correct Answer: B
Rationale: Extreme hunger and thirst may indicate abnormal blood sugar levels or metabolic issues, requiring further evaluation, unlike the other normal postpartum events.
Extract:
Client considered for amniotomy
Question 3 of 5
The nurse understands which condition is a contraindication for an amniotomy.
Correct Answer: D
Rationale: Dilation less than 3 cm is a contraindication for amniotomy due to increased risks of infection and cord compression.
Extract:
Newborn 1 hour after birth
Question 4 of 5
The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?
Correct Answer: C
Rationale: Nasal flaring indicates difficulty with oxygenation, as it is a compensatory mechanism to increase airflow in respiratory distress.
Extract:
During vaginal delivery, newborn's head emerges
Question 5 of 5
During a vaginal delivery, the first thing a nurse must ensure when the head comes out is that the midwife or doctor checks that
Correct Answer: C
Rationale: Checking for a nuchal cord (cord around the neck) is critical to prevent compression, which could reduce blood flow and oxygen to the baby.