ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who experienced a vaginal delivery
Question 1 of 5
The nurse should explain to the client that the purpose of methylergonovine IM is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine promotes uterine contractions to control bleeding, preventing postpartum hemorrhage. It does not prevent infection, hypertension, or thromboembolism.
Extract:
An 8-hour-old, term newborn following a cesarean birth, skin is yellow
Question 2 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Yellow skin at 8 hours suggests pathologic jaundice, likely from blood group incompatibility causing hemolysis. Physiologic jaundice appears later, cocaine and vitamin K are unrelated.
Extract:
A newborn who is small for gestational age (SGA)
Question 3 of 5
Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at high risk for hypoglycemia due to limited glycogen stores, making blood glucose monitoring the priority. Temperature, weight, and stimulation are important but secondary.
Extract:
A client who gave birth 2 hours ago, blood pressure is 60/50 mm Hg
Question 4 of 5
What should be the nurse's first action?
Correct Answer: A
Rationale: Evaluating uterine firmness assesses for uterine atony, a common cause of postpartum hemorrhage leading to hypotension. Oxytocin, blood typing, and oxygen are secondary actions after confirming the cause of low blood pressure.
Extract:
A client who is suspected of having a hydatidiform mole
Question 5 of 5
Which of the following findings should the nurse expect to observe in this client?
Correct Answer: D
Rationale: Excessive uterine enlargement is characteristic of a hydatidiform mole due to trophoblastic overgrowth. High hCG levels, grape-like vaginal bleeding, and absence of a fetus are typical, not the other options.