ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is at 22 weeks of gestation
Question 1 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks, the fundus is typically slightly above the umbilicus, aligning with the rule that fundal height in centimeters approximates gestational age. Other options correspond to earlier or later gestational stages.
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios
Question 2 of 5
What does this diagnosis mean?
Correct Answer: C
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to fetal anomalies or maternal conditions like diabetes. It is not directly caused by multiple fetuses, congenital anomalies alone, or elevated AFP.
Extract:
A client who is a primigravida, at term, and having contractions but is unsure if she is in labor
Question 3 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: Changes in the cervix (effacement and dilation) are the definitive signs of true labor, distinguishing it from false labor. Contraction patterns, membrane rupture, and station changes are not specific to true labor.
Extract:
A newborn who is 4 hours old
Question 4 of 5
Which condition poses the greatest risk to the newborn?
Correct Answer: D
Rationale: Congenital cardiac defects are the most common and potentially life-threatening birth defects, affecting blood flow and oxygenation. NAS, DDH, and subgaleal hemorrhage are serious but less immediately critical.
Extract:
A client who is breastfeeding about managing breast engorgement
Question 5 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: Frequent feedings every 2 hours prevent milk buildup, reducing engorgement. Cold compresses, herbal tea, and single-breast drainage are less effective or inappropriate.