ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios
Question 1 of 5
What does this diagnosis mean?
Correct Answer: C
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to fetal anomalies or maternal conditions like diabetes. It is not directly caused by multiple fetuses, congenital anomalies alone, or elevated AFP.
Extract:
A client who is 2 days postpartum, is breastfeeding, and reports nipple soreness
Question 2 of 5
Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: A,B,C
Rationale: A: Starting with the less sore nipple reduces pain as the infant sucks more vigorously initially. B: Changing positions distributes pressure, preventing further irritation. C: Breast milk has antibacterial properties that soothe and heal sore nipples. D: Massaging may increase irritation. E: Breast pads manage leakage but do not directly reduce soreness.
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 3 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 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 client who is in the first stage of labor, umbilical cord protruding from the vagina
Question 5 of 5
Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia in cord prolapse, an emergency. Other actions follow to maintain cord viability and prepare for delivery.