ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Question 1 of 5
The nurse should document what Apgar score for this infant?
Correct Answer: A
Rationale: The Apgar score is 8: appearance (1, pink body, blue extremities), pulse (2, >100/min), grimace (2, cries to suctioning), activity (2, flexed extremities), respiration (1, weak cry), indicating good health.
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 2 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 caring for a client who is at 36 weeks of gestation and has a suspected placenta previa.
Question 3 of 5
Which of the following findings support this diagnosis?
Correct Answer: C
Rationale: Painless red vaginal bleeding is characteristic of placenta previa, where the placenta covers the cervical os, unlike painful bleeding or mucus, which suggest other conditions.
Extract:
A nurse is caring for several clients.
Question 4 of 5
The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: D
Rationale:
Tocolytic therapy is safe and appropriate for preterm labor at 26 weeks to delay delivery and enhance fetal lung maturity, unlike post-term pregnancy, Braxton-Hicks contractions, or fetal death, where it is not indicated.
Extract:
A nurse is preparing to administer methylergonovine IM to a client who has experienced a vaginal delivery.
Question 5 of 5
The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine promotes uterine contractions to prevent postpartum hemorrhage by compressing blood vessels, not infections, thromboembolism, or hypertension.