ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Infant with axillary temperature of 35.9C (96.6F)
Question 1 of 5
An infant's axillary temperature is 35.9C (96.6F). The priority nursing action is to:
Correct Answer: C
Rationale: The low temperature indicates hypothermia, and placing the infant in a radiant warmer is the priority to stabilize body temperature and prevent complications.
Extract:
Client 2 hours postpartum, vaginal birth, saturated two perineal pads in 30 minutes
Question 2 of 5
A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Palpating the uterine fundus assesses for uterine atony, a common cause of postpartum hemorrhage indicated by excessive bleeding.
Extract:
Client in latent phase of labor for 12 hours, requesting medication to rest
Question 3 of 5
A client in latent phase of labor for the past 12 hours is requesting medication to help her rest.
Correct Answer: A
Rationale: Fentanyl is a fast-acting opioid suitable for pain relief and sedation in labor, with less risk of prolonged effects compared to other options.
Extract:
Pregnant woman educated about placental hormones
Question 4 of 5
After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?
Correct Answer: D
Rationale: Human chorionic gonadotropin (hCG) is produced by the fertilized egg and detected in pregnancy tests, indicating fertilization and implantation.
Extract:
Primigravida client at term, having contractions, unsure if in labor
Question 5 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Changes in the cervix, such as effacement and dilation, are the most accurate indicators of true labor, caused by contractions and fetal pressure.