ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn immediately after birth
Question 1 of 5
Once a patent airway has been ensured, what should be the nurse's priority action?
Correct Answer: D
Rationale: Drying the skin prevents hypothermia due to evaporation of amniotic fluid, a critical immediate need to maintain thermoregulation. Vitamin K, eye prophylaxis, and identification are important but not as urgent as preventing heat loss.
Extract:
A client who is in active labor and notes that the presenting part is at 0 station
Question 2 of 5
Which of the following is the correct interpretation of this clinical finding?
Correct Answer: D
Rationale: 0 station indicates the presenting part is at the level of the ischial spines, the midpoint of the pelvis. Other options describe different aspects of labor not related to station.
Extract:
A client who is in active labor and notes late decelerations in the FHR
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Changing the client's position (e.g., to the side) is the first action to improve uteroplacental blood flow and fetal oxygenation, addressing late decelerations caused by reduced placental perfusion. Oxygen, scalp electrode, and IV rate adjustments are secondary actions.
Extract:
A client who experienced a vaginal delivery
Question 4 of 5
The nurse should explain to the client that the purpose of methylergonovine IM is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine promotes uterine contractions to control bleeding, preventing postpartum hemorrhage. It does not prevent infection, hypertension, or thromboembolism.
Extract:
A client who is 2 days postpartum, is breastfeeding, and reports nipple soreness
Question 5 of 5
Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: A,B,C
Rationale: A: Starting with the less sore nipple reduces pain as the infant sucks more vigorously initially. B: Changing positions distributes pressure, preventing further irritation. C: Breast milk has antibacterial properties that soothe and heal sore nipples. D: Massaging may increase irritation. E: Breast pads manage leakage but do not directly reduce soreness.