ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is in active labor when the client's membranes rupture, fetal monitor tracing shows late decelerations
Question 1 of 5
What is the first action the nurse should take?
Correct Answer: A
Rationale: Turning the client onto her side improves placental blood flow, addressing late decelerations due to uteroplacental insufficiency. IV fluids, palpation, and oxygen are secondary actions.
Extract:
A client who is 2 hr postpartum following a vaginal birth
Question 2 of 5
Which of the following findings indicates the client's bladder is distended?
Correct Answer: A
Rationale: A distended bladder displaces the fundus to the right due to pressure on the uterus. Contractions, thirst, and minimal lochia are not related to bladder distension.
Extract:
A client who is receiving magnesium sulfate to manage preeclampsia
Question 3 of 5
Which of the following observations should the nurse immediately report to the healthcare provider?
Correct Answer: C
Rationale: Low urinary output (40 ml in 2 hours) suggests oliguria, a sign of magnesium toxicity or renal impairment, requiring immediate reporting. Normal respiratory rate, headache, and fetal heart rate are less urgent.
Extract:
A newborn who is 72 hours old, has a Neonatal Abstinence Scoring System (NAS) score of 20
Question 4 of 5
Which of the following prescriptions should the nurse anticipate?
Correct Answer: D
Rationale: A NAS score of 20 indicates significant withdrawal symptoms, warranting oral morphine to manage symptoms and prevent complications. Swaddling, naloxone, and continued scoring are not sufficient.
Extract:
A client who gave birth 2 hours ago, blood pressure is 60/50 mm Hg
Question 5 of 5
What should be the nurse's first action?
Correct Answer: A
Rationale: Evaluating uterine firmness assesses for uterine atony, a common cause of postpartum hemorrhage leading to hypotension. Oxytocin, blood typing, and oxygen are secondary actions after confirming the cause of low blood pressure.