ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.
Question 1 of 5
The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center. How would you document this wound?
Correct Answer: A
Rationale: An unstageable pressure ulcer is documented due to the presence of eschar (blackened area) in the wound bed, indicating full-thickness tissue loss that cannot be staged until the eschar is removed.
Extract:
In terms of the incidence and classification of diabetes, maternity nurses should know that:
Question 2 of 5
In terms of the incidence and classification of diabetes, maternity nurses should know that:
Correct Answer: B
Rationale: Type 2 diabetes often goes undiagnosed due to its insidious onset and lack of symptoms, accounting for 90-95% of diabetes cases, making it critical for maternity nurses to recognize.
Extract:
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: B
Rationale: Variable decelerations are due to umbilical cord compression, which reduces blood flow and oxygen delivery to the fetus, resulting in abrupt and irregular decreases in the fetal heart rate that vary in onset, depth, and duration.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 4 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action for late decelerations, as it reduces uterine pressure on the inferior vena cava and aorta, improving maternal and fetal circulation and oxygenation.
Extract:
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation.
Question 5 of 5
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The newborn might be actively shedding the rubella virus, which is highly contagious, necessitating isolation to prevent transmission to other susceptible individuals.