ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is pregnant, Gravida 4 Para 3, 33 weeks of gestation, allergies: sulfa, height 165 cm, weight 82 kg, BMI 30.6, 32 kg weight gain over the last 2 weeks
Question 1 of 5
Select the assessment findings the nurse should report to the provider
Correct Answer: D
Rationale: Rapid weight gain (32 kg in 2 weeks) suggests fluid retention, a potential sign of preeclampsia, requiring immediate reporting. Other findings are routine or non-urgent.
Extract:
A client reporting severe abdominal pain in the left lower quadrant, provider suspects a ruptured ectopic pregnancy
Question 2 of 5
Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign (periumbilical bruising) indicates intraperitoneal bleeding, consistent with a ruptured ectopic pregnancy. Other signs relate to pregnancy or hypocalcemia.
Extract:
A client who is in the first stage of labor, umbilical cord protruding from the vagina
Question 3 of 5
Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia in cord prolapse, an emergency. Other actions follow to maintain cord viability and prepare for delivery.
Extract:
A newborn diagnosed with hydrocephalus
Question 4 of 5
Which of the following symptoms should the nurse anticipate?
Correct Answer: B
Rationale: Dilated scalp veins result from increased intracranial pressure in hydrocephalus. Sloping forehead, overlapping sutures, and hypertension are not typical symptoms.
Extract:
A newborn 2 hours after birth
Question 5 of 5
Which four observations should the nurse report to the healthcare provider?
Correct Answer: B,C
Rationale: B: Abnormal respiratory findings (e.g., distress) are critical post-birth. C: Glucose levels are vital, especially in at-risk newborns, to prevent hypoglycemia. A and D are monitored but less urgent unless abnormal.