ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client in labor, B Rh-negative, uterine tenderness, variable FHR decelerations, BP 130/82, temperature 37.7°C.
Question 1 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.
Extract:
Newborn born at 42 weeks of gestation.
Question 2 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:
Client in fourth stage of labor, BP 144/92, pulse 99, respirations 17, pulse ox 97%, temperature 100.4 F, pain score 1/10.
Question 3 of 5
A nurse is caring for a client in the fourth stage of labor after a vaginal delivery. History and Physical: BP: 144/92 mmHg. Pulse: 99 bpm. Respirations: 17/min. Pulse Ox: 97%. Temperature: 100.4 F (38.0 C). Pain score: 1/10. The nurse should first address the client's ____________ (assessment finding), followed by the client's ____________ (assessment finding).
Correct Answer: A
Rationale: Elevated BP (144/92 mmHg) is a priority due to potential preeclampsia, followed by temperature (100.4°F) indicating possible infection.
Extract:
Nurse screening for postpartum depression (PPD).
Question 4 of 5
The nurse working in a clinic often screens her patients for postpartum depression (PPD). Identify the differences between postpartum depression and postpartum blues.
| Observation | Postpartum Depression | Postpartum Blues |
|---|---|---|
| Major differences occur within the first two weeks postpartum | ||
| Symptoms disappear without medical intervention | ||
| Unable to safely care for self and/or baby | ||
| May require antidepressants | ||
| Occurs within the first 12 months postpartum |
Correct Answer: A,B,C,D,E
Rationale: Postpartum blues resolve within two weeks and require no intervention, while PPD can persist up to 12 months, impair self/baby care, and may need antidepressants.
Extract:
Postpartum client whose newborn's maternal grandmother was born deaf, asking how to tell if her newborn hears well.
Question 5 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.