ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 1 of 5
The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption, damaging uterine blood vessels, unlike trauma, smoking, or cocaine, which are less frequent.
Extract:
A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery.
Question 2 of 5
Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Washing with warm water, blotting dry, cleaning front to back, and hand hygiene reduce infection risk by maintaining cleanliness and preventing bacterial spread, unlike ice packs, which address swelling.
Extract:
A nurse is caring for a client who is 1 hour postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the level of the umbilicus.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Moderate lochia rubra with small clots and a firm, midline fundus is normal 1 hour postpartum, requiring only documentation and continued monitoring.
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 the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in the lateral position is the first action to take for late decelerations, as it improves uteroplacental blood flow by relieving pressure on the inferior vena cava, addressing the likely cause of compromised fetal oxygenation.