ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is in active labor with 7 cm of cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, suddenly states she needs to push
Question 1 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Panting prevents premature pushing, which can cause cervical swelling or tearing before full dilation. Positioning, voiding, and crowning observation are secondary until full dilation is confirmed.
Extract:
A newborn who is 30 minutes old
Question 2 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome is the greatest risk due to potential airway obstruction and respiratory distress from meconium in the amniotic fluid. Birth weight, gestational age, and FUA (a less immediate concern) are not as critical in the first 30 minutes.
Extract:
A newborn who was born small for gestational age
Question 3 of 5
Which of the following should the nurse include as a potential cause of this condition?
Correct Answer: D
Rationale: Placental insufficiency restricts nutrient and oxygen delivery, leading to SGA. Asphyxia affects acute distress, preterm delivery affects size relative to gestational age, and hyperinsulinemia causes macrosomia.
Extract:
A newborn diagnosed with hydrocephalus
Question 4 of 5
Which of the following symptoms should the nurse anticipate?
Correct Answer: B
Rationale: Dilated scalp veins result from increased intracranial pressure in hydrocephalus. Sloping forehead, overlapping sutures, and hypertension are not typical symptoms.
Extract:
A newborn who is small for gestational age (SGA)
Question 5 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.