ATI RN
ATI Maternity Exam 3 Questions
Extract:
A newborn at 36 weeks' gestation with nasal flaring, labored breathing, and excessive mucus.
Question 1 of 5
The nurse assesses a newborn at 36 weeks' gestation, and the following behaviors are noted: nasal flaring, labored breathing, and excessive mucus. The nurse is most concerned about:
Correct Answer: D
Rationale: These symptoms in a preterm newborn suggest RDS due to surfactant deficiency, a serious condition requiring urgent intervention, unlike the less likely or unrelated other options.
Extract:
A newborn with bluish markings across the lower back.
Question 2 of 5
During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse interprets this finding as:
Correct Answer: B
Rationale: Dermal melanosis (Mongolian spots) are benign bluish patches common in certain ethnic groups, unlike milia, stork bites, or trauma-related marks.
Extract:
Post-term fetal risks.
Question 3 of 5
Post-term fetal risks include all of the following, EXCEPT:
Correct Answer: C
Rationale: Cord prolapse is not a post-term risk but is associated with other factors like prematurity or breech presentation, unlike macrosomia, IUGR, and MAS, which are linked to post-term pregnancies.
Extract:
A woman with a history of crack cocaine use admitted to the Labor and Birthing Unit with fetal bradycardia, acute abdominal pain, and dark red vaginal bleeding.
Question 4 of 5
A woman with a history of crack cocaine use is admitted to the Labor and Birthing Unit. While caring for the patient, the nurse notes a sudden onset of fetal bradycardia. The patient also complains of acute abdominal pain that is continuous and she has dark red vaginal bleeding. Which of the following would the nurse suspect?
Correct Answer: B
Rationale: These symptoms suggest placental abruption, exacerbated by cocaine use, causing fetal distress and maternal hemorrhage, unlike the other conditions which present differently.
Extract:
A 1-day-old newborn.
Question 5 of 5
The nurse assesses a 1-day-old newborn. Which finding indicates that the newborn's oxygenation needs are not being met?
Correct Answer: A
Rationale: Grunting and nasal flaring signal respiratory distress, indicating inadequate oxygenation, unlike normal findings like acrocyanosis or abdominal breathing.