ATI RN
ATI NUR223 Absection 4 Maternity 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: 9
Rationale: Apgar score: Color (1), Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (2) = 9.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 2 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: D
Rationale: Hyperinsulinemia delays lung maturation, reducing surfactant and causing respiratory distress syndrome.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 3 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Positioning on the side, preferably left, improves placental perfusion, addressing late decelerations.
Extract:
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease.
Question 4 of 5
Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation prevents venous stasis, reducing thromboembolism risk in high-risk clients.
Extract:
A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.
Question 5 of 5
Which of the following information about nutrition should be included in the teaching?
Correct Answer: A
Rationale: Avoiding salt reduces fluid retention, helping manage hypertension in mild preeclampsia.