ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and states that she can 'feel the baby moving.' An ultrasound is scheduled immediately.
Question 1 of 5
The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Correct Answer: C
Rationale: Heavy, painless vaginal bleeding at 38 weeks suggests placenta previa or abruption, so an ultrasound to locate the placenta is critical to diagnose the cause.
Extract:
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate. The client's respiratory rate is 10/min, and deep-tendon reflexes are absent.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium sulfate toxicity, requiring immediate discontinuation of the infusion to prevent further complications like respiratory arrest.
Extract:
A nurse is observing a new mother bathing her newborn son for the first time.
Question 3 of 5
For which of the following actions should the nurse intervene?
Correct Answer: A
Rationale: Using a cotton-tipped swab to clean the nares can push debris further or cause injury, requiring intervention, whereas the other actions align with safe newborn care practices.
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 4 of 5
Which of the following orders requires clarification?
Correct Answer: D
Rationale: Ambulation twice daily is inappropriate for severe preeclampsia, as bed rest is typically recommended to manage hypertension, unlike monitoring, weight checks, or reflex assessments.
Extract:
A nurse in a clinic is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum.
Question 5 of 5
Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,C,D
Rationale: Hyperemesis gravidarum is associated with migraines due to hormonal changes, twin gestations due to higher hCG levels, and can occur in nulliparous women, but not gestational hypertension or oligohydramnios, which are unrelated.