ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A patient who experienced a vaginal birth 3 hours ago, fundus displaced to the right, firm, two fingerbreadths above the umbilicus
Question 1 of 5
What actions should the nurse complete at this time?
Correct Answer: C
Rationale: A displaced, firm fundus suggests a full bladder; having the patient urinate corrects displacement. Catheterization, massage, and analgesics are unnecessary with a firm fundus.
Extract:
A client, Gravida 4 Para 3, 32 weeks of gestation, BMI of 32, history of two newborns weighing over 4.5 kg, family history of type one diabetes mellitus (maternal), fetal heart tones 140/min via doppler
Question 2 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,B,D
Rationale: A: Non-stress tests monitor fetal well-being in high-risk pregnancies. B: Limiting carbohydrates to 40% helps control glucose levels. D: Metformin may be prescribed for gestational diabetes risk. C: Random glucose checks are less effective than targeted monitoring.
Extract:
A newborn who is postmature
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Postmature newborns have cracked, peeling skin due to prolonged amniotic fluid exposure and reduced vernix. Lanugo, short nails, and vernix are typical of preterm or term infants.
Extract:
A client who is 3 weeks postpartum following the birth of a healthy newborn, reports feeling down and sad, having no energy, and wanting to cry
Question 4 of 5
What should be the nurse's priority action?
Correct Answer: A
Rationale: Asking about thoughts of harming the newborn assesses for postpartum depression with potential risk to the infant, prioritizing safety. Teaching, coping skills, and anticipating medication are secondary to ensuring immediate safety.
Extract:
A client who is at 30 weeks of gestation and is in preterm labor, has a new prescription for betamethasone
Question 5 of 5
Which of the following explanations should the nurse provide?
Correct Answer: C
Rationale: Betamethasone enhances fetal lung maturity by stimulating surfactant production, reducing the risk of respiratory distress syndrome in preterm infants. It does not affect heart rate, stop contractions, or halt dilation.