ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 1 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: D
Rationale: Variable decelerations are associated with umbilical cord compression, indicating a potential cord problem. Early decelerations relate to head compression, accelerations are normal, and late decelerations suggest uteroplacental insufficiency.
Extract:
A newborn's parent
Question 2 of 5
Which of the following instructions should the nurse include to care for the umbilical cord stump?
Correct Answer: D
Rationale: Sponge baths keep the cord dry, preventing infection and promoting healing. Covering with a diaper, washing, or applying jelly increases infection risk.
Extract:
A newborn who is 4 hours old
Question 3 of 5
Which condition poses the greatest risk to the newborn?
Correct Answer: D
Rationale: Congenital cardiac defects are the most common and potentially life-threatening birth defects, affecting blood flow and oxygenation. NAS, DDH, and subgaleal hemorrhage are serious but less immediately critical.
Extract:
A postpartum client
Question 4 of 5
Which of the following expectations about postpartum changes has the client correctly understood?
Correct Answer: B
Rationale: Breast engorgement causes harder, warmer, tender breasts, a normal postpartum change. Stool transition takes longer, abdominal discomfort varies, and energy levels may not increase soon.
Extract:
A newborn who has myelomeningocele
Question 5 of 5
Which of the following nursing goals has the priority in the care of this infant?
Correct Answer: C
Rationale: Maintaining the integrity of the myelomeningocele sac prevents infection and further neural damage, making it the priority. Stimulation, education, and bonding are important but secondary.