ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes, has respiratory distress syndrome
Question 1 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia in infants of diabetic mothers increases oxygen demand and delays lung maturation, contributing to respiratory distress syndrome. Viscosity, injuries, and fat deposits are not primary causes.
Extract:
A newborn who is 56 hours old, awake, alert, crying, pink with acrocyanosis, respiratory rate 70/min, no retractions, grunting, or nasal flaring, jitteriness in hands, poor feeding, poor suck, loose stool
Question 2 of 5
Which of the following assessment findings is consistent with neonatal abstinence syndrome (NAS)?
Correct Answer: D
Rationale: Jitteriness, along with poor feeding and loose stools, is consistent with NAS, indicating opioid withdrawal. Other findings are normal or non-specific.
Extract:
A postpartum client
Question 3 of 5
Which of the following expectations about postpartum changes has the client correctly understood?
Correct Answer: B
Rationale: Breast engorgement causes harder, warmer, tender breasts, a normal postpartum change. Stool transition takes longer, abdominal discomfort varies, and energy levels may not increase soon.
Extract:
A client during the first trimester of pregnancy, blood work shows no immunity to rubella
Question 4 of 5
When should the nurse understand is the recommended time for rubella immunization?
Correct Answer: A
Rationale: Rubella immunization (MMR vaccine) is given post-delivery to avoid risks from the live virus during pregnancy, protecting future pregnancies.
Extract:
A client who is receiving opioid epidural analgesia during labor
Question 5 of 5
Which of the following observations should the nurse prioritize?
Correct Answer: C
Rationale: Hypotension (80/56 mm Hg) is a critical complication of epidural analgesia, risking maternal and fetal perfusion. Itching, fever, and weakness are less urgent.