ATI RN
ATI Maternal Newborn Exam Questions
Extract:
A postpartum client who delivered their third infant 2 days ago.
Question 1 of 5
A nurse is caring for a postpartum client who delivered their third infant 2 days ago. Which of the following manifestations could indicate postpartum depression?
Correct Answer: C
Rationale: Flat affect signifies reduced emotional expression, common in depression. Depressed individuals exhibit lack of response to pleasurable activities, social withdrawal, and emotional blunting.
Extract:
A client who gave birth 2 hours ago.
Question 2 of 5
A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?
Correct Answer: A
Rationale: A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage.
Extract:
A newborn is 56 hours old and was born at 38 weeks gestation. The nurse notes that the newborn has been experiencing difficulty feeding, with poor sucking reflex and episodes of irritability. The newborn’s extremities are jittery, and there is a weak cry. The nurse also observes mild tremors and excessive sweating. Vital Signs: Heart rate: 168/min, Respiratory rate: 70/min, Temperature: 36.1°C (97.0°F), Oxygen saturation: 97%. Diagnostic Results: Blood glucose level: 40 mg/dL (low), Urine toxicology screen: Positive for opioids.
Question 3 of 5
A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? For each assessment finding, click to specify if the assessment finding is consistent with hypoglycemia or neonatal abstinence syndrome (NAS).
| Assessment Finding | Hypoglycemia | Neonatal Abstinence |
|---|---|---|
| Jittery extremities. | ||
| Poor sucking reflex. | ||
| Excessive sweating. | ||
| Irritability. | ||
| Weak cry. | ||
| Mild tremors. | ||
| Low blood glucose level. |
Correct Answer: A,B,C,D,E,F,G
Rationale: A: Jittery extremities (Hypoglycemia, NAS). B: Poor sucking reflex (Hypoglycemia, NAS). C: Excessive sweating (Hypoglycemia, NAS). D: Irritability (Hypoglycemia, NAS). E: Weak cry (Hypoglycemia, NAS). F: Mild tremors (Hypoglycemia, NAS). G: Low blood glucose level (Hypoglycemia). H: Positive urine toxicology (NAS).
Extract:
Question 4 of 5
Which of the following is a common respiratory anomaly associated with preterm birth?
Correct Answer: C
Rationale: Neonatal respiratory distress syndrome (NRDS) is common in preterm infants due to insufficient surfactant production.
Extract:
A client at 24 weeks of gestation.
Question 5 of 5
A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)
Correct Answer: A,B,C,E
Rationale: A: Gestational diabetes mellitus increases the risk of preterm labor due to complications like polyhydramnios. B: Clients with GDM have a higher risk of developing type 2 diabetes later in life. C: Intensive fetal monitoring is necessary to detect complications in GDM. E: GDM increases the risk of postpartum hemorrhage due to uterine overdistention.