ATI RN
ATI Maternity Exam 3 Questions
Extract:
A newborn at delivery with thick meconium in the amniotic fluid.
Question 1 of 5
During an observational experience in labor and delivery, the student nurse recognizes that thick meconium is present in the amniotic fluid. Upon delivery of the newborn, the student nurse understands that there are signs that indicate that the newborn will need resuscitation. These signs are:
Correct Answer: A
Rationale: Central cyanosis and poor tone indicate hypoxia requiring resuscitation, unlike normal or benign signs like acrocyanosis or crying in the other options.
Extract:
The nurse is performing a newborn physical assessment.
Question 2 of 5
The nurse is performing a newborn physical assessment and is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
Correct Answer: B
Rationale: The Moro reflex involves arm and leg extension then adduction when startled, indicating neurological health, unlike the other reflexes described.
Extract:
A client following an amniotomy who is now in the active phase of the first stage of labor
Question 3 of 5
A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: B
Rationale: Encouraging bladder emptying every 2 hours prevents obstruction of fetal descent. Lithotomy is for delivery, bearing down is for the second stage, and frequent exams risk infection.
Extract:
Assessing the umbilical cord before applying a clamp.
Question 4 of 5
Before applying a cord clamp, the nurse assesses the umbilical cord for vessels. The nurse expects to find:
Correct Answer: A
Rationale: The umbilical cord normally has two arteries and one vein, ensuring proper fetal circulation, unlike abnormal variations in other options.
Extract:
A pregnant woman at her first prenatal visit with a softened cervix.
Question 5 of 5
On the first prenatal visit, the woman's cervix feels softened upon examination. The nurse records this finding as:
Correct Answer: C
Rationale: Goodell's sign is cervical softening due to pregnancy-related vascularity, unlike Homans' (thrombosis), Chadwick's (color change), or McDonald's (uterine flexing).