ATI RN
ATI Maternal Newborn Exam Questions
Extract:
A client who gave birth 2 hours ago.
Question 1 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 client who is in preterm labor at 32 weeks of gestation.
Question 2 of 5
A nurse is assisting with providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to help with lung maturity?
Correct Answer: D
Rationale: Betamethasone is a corticosteroid that accelerates fetal lung development and surfactant production, promoting lung maturity in preterm infants.
Extract:
A patient who has postpartum psychosis.
Question 3 of 5
A nurse is caring for a patient who has postpartum psychosis. Which of the following actions is the nurse’s priority?
Correct Answer: C
Rationale: Assessing thoughts of harm is crucial in postpartum psychosis as it helps identify immediate risks to the patient and infant, allowing for timely interventions.
Extract:
Question 4 of 5
Which of the following is most indicative of postpartum subinvolution?
Correct Answer: B
Rationale: Prolonged lochia discharge indicates incomplete uterine involution, as the uterus has not returned to its pre-pregnancy size.
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 5 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).