ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 1 of 5
The nurse interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow causes fetal hypoxia, unlike maternal bradycardia, cord compression (variable decelerations), or head compression (early decelerations).
Extract:
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are hard and warm to palpation.
Question 2 of 5
Which of the following interpretations of these findings should the nurse make?
Correct Answer: B
Rationale: The findings are normal for 3 days postpartum (involuting uterus, moderate lochia, engorged breasts), requiring no additional interventions, unlike mastitis, which includes fever, or the need for bra removal or heat.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 3 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, requiring further evaluation, unlike joint pain, discharge, or increased urine output, which are unrelated.
Extract:
A nurse is teaching a client who is at 23 weeks of gestation about immunizations.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during pregnancy to protect mother and baby, unlike rubella (safe in breastfeeding), varicella (avoided in pregnancy), or Tdap (given in pregnancy).
Extract:
A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU).
Question 5 of 5
Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: A
Rationale: Peanut butter, high in phenylalanine, must be eliminated for PKU clients to prevent harmful accumulation, unlike potatoes, apple juice, or broccoli, which are low in phenylalanine and safe.