ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Four newborns in a special care nursery: 8-hour-old with blue coloring of hands and feet, newborn with small raised pearly spots on nose, newborn with apical heart rate of 140 bpm, newborn with nasal flaring and grunting.
Question 1 of 5
A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?
Correct Answer: D
Rationale: Nasal flaring and grunting indicate respiratory distress, requiring immediate intervention to ensure the newborn's airway and breathing are supported.
Extract:
Client at 9 weeks pregnant, had a miscarriage at 7 weeks, an ectopic pregnancy at 6 weeks treated with methotrexate, five-year-old son born vaginally at 39 weeks, three-year-old daughter born vaginally at 35 weeks.
Question 2 of 5
The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment. The client is currently 9 weeks pregnant. She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate. Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks. What is her GTPAL?
Correct Answer: C
Rationale: GTPAL is calculated as G5 (current pregnancy, miscarriage, ectopic, two births), T1 (39-week birth), P1 (35-week birth), A2 (miscarriage, ectopic), L2 (two living children), matching C.
Extract:
Client who experienced a precipitous labor.
Question 3 of 5
You admitted a client who experienced a precipitous labor. What is the highest concern for maternal complication related to this type of labor?
Correct Answer: B
Rationale: Precipitous labor increases the risk of postpartum hemorrhage due to rapid, forceful contractions that may lead to uterine atony, causing excessive bleeding post-delivery.
Extract:
Client with suspected ectopic pregnancy at 8 weeks of gestation.
Question 4 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: D
Rationale: Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy due to the implantation of the fertilized egg outside the uterus, typically in a fallopian tube.
Extract:
Client on electronic fetal monitor experiencing tachysystole.
Question 5 of 5
A nurse is caring for a client who is on the electronic fetal monitor and the nurse notices that the client is experiencing tachysystole. Which of the following describes tachysystole?
Correct Answer: C
Rationale: Tachysystole is defined as more than five contractions in 10 minutes, which can reduce fetal blood flow and cause distress.