ATI RN
ATI Maternal Newborn Exam Questions
Extract:
A newborn delivered by vaginal birth with a vacuum assist.
Question 1 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Caput succedaneum is edema of the newborn's scalp that crosses suture lines, commonly resulting from vacuum-assisted delivery.
Extract:
A patient who is having hypertonic contractions during labor.
Question 2 of 5
Which of the following is a finding for a patient who is having hypertonic contractions during labor?
Correct Answer: B
Rationale: The uterus may not relax between contractions, leading to compromised fetal blood flow.
Extract:
A laboring client.
Question 3 of 5
Which of the following would lead the nurse to suspect that a laboring client is experiencing Amniotic Fluid Embolism?
Correct Answer: A
Rationale: Amniotic fluid embolism is characterized by the sudden onset of respiratory distress due to the entry of amniotic fluid into the maternal circulation.
Extract:
A female client.
Question 4 of 5
A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?
Correct Answer: C
Rationale: Basal body temperature should be measured every morning before arising, as this reflects the body’s lowest resting temperature and helps identify ovulation.
Extract:
A newborn is 12 hours old and was born at 37 weeks gestation. The nurse notes that the newborn has a respiratory rate of 74/min, with mild retractions and nasal flaring. The newborn’s heart rate is 170/min, and the temperature is 36.7°C (98.1°F). The nurse also observes grunting and cyanosis around the mouth.
Question 5 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: B,C,D
Rationale: B: Respiratory rate of 74/min indicates potential distress. C: Heart rate of 170/min suggests tachycardia. D: Retractions, nasal flaring, and grunting indicate respiratory distress.