ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn delivered via cesarean birth approximately 1 hr ago, Apgar Scores 8 and 9, Vitamin K administered, weight 4337 grams (9 lb 9 oz), length 52 cm (20.5 in), gestational age 39 weeks, large for gestational age, jittery, decreased muscle tone
Question 1 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, two actions, and two parameters to monitor
Correct Answer: A,B,C
Rationale: Condition: Hypoglycemia (due to LGA and symptoms). Actions: A: Check glucose levels to confirm hypoglycemia. B: Use a radiant warmer to maintain temperature. Parameters: C: Monitor temperature to ensure thermoregulation. D: Bowel movements are less relevant.
Extract:
A client who is 4 hours postpartum following a vaginal delivery
Question 2 of 5
Which of the following findings should the nurse prioritize?
Correct Answer: B
Rationale: A saturated perineal pad in 30 minutes indicates excessive bleeding, suggestive of postpartum hemorrhage, a life-threatening condition requiring immediate intervention. Fundus at the umbilicus is normal at this stage, approximated episiotomy edges are expected, and 4+ reflexes may suggest preeclampsia but are less urgent in the postpartum period.
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 3 of 5
Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, risking perfusion. Vomiting, tachycardia, and respiratory depression are less frequent.
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 at 34 weeks of gestation and at risk for placental abruption
Question 5 of 5
What is the most common risk factor for abruption?
Correct Answer: D
Rationale: Hypertension (chronic or gestational) is the most common risk factor for placental abruption, damaging uterine vessels. Trauma, smoking, and cocaine are less common causes.