ATI RN
ATI Custom Maternal Newborn Questions
Extract:
1-day-old newborn, indented anterior fontanelle
Question 1 of 5
The nurse notices while holding him upright that a 1-day-old newborn has a significantly indented anterior fontanelle. She immediately brings it to the attention of the physician. What does this finding most likely indicate?
Correct Answer: C
Rationale: An indented anterior fontanelle most likely indicates dehydration, as fluid loss causes the fontanelle to sink.
Extract:
Vacuum extraction birth
Question 2 of 5
While assisting with a vacuum extraction birth, what should the nurse immediately report to the physician?
Correct Answer: D
Rationale: Persistent fetal bradycardia below 100 bpm indicates potential fetal distress, requiring immediate reporting to ensure fetal safety.
Extract:
Woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday, orders for perineal ice packs, sitz bath, stool softener
Question 3 of 5
A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her primary health care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool softener. What information is most closely correlated with these orders?
Correct Answer: C
Rationale: An episiotomy correlates with orders for ice packs, sitz baths, and stool softeners, as these address pain and healing of the perineal incision.
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 4 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Encouraging the client to pant during contractions helps reduce the urge to push when not fully dilated, preventing complications like cervical swelling or tearing.
Extract:
Client at 40 weeks gestation, in labor, electronic fetal heart rate monitor tracing
Question 5 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: C
Rationale: Variable decelerations indicate fetal hypoxia due to umbilical cord compression, requiring urgent intervention as they suggest the cord is trapped or twisted, impairing fetal oxygen supply.