ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption
Question 1 of 5
What is the most common risk factor for abruption?
Correct Answer: D
Rationale: Hypertension (chronic or gestational) is the most common risk factor for placental abruption, damaging uterine vessels. Trauma, smoking, and cocaine are less common causes.
Extract:
A client who is in her first trimester of pregnancy, upset because she and her husband planned this pregnancy but she is having doubts and second thoughts
Question 2 of 5
What is an appropriate response by the nurse?
Correct Answer: D
Rationale: Validating ambivalent feelings normalizes the client's experience, reducing anxiety. Counseling, family discussions, or dismissive reassurance are less supportive initially.
Extract:
A newborn delivered via emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar score 5 at 1 min, positive pressure ventilation given for 1 min followed by free flow oxygen
Question 3 of 5
What finding should the nurse report to the provider?
Correct Answer: D
Rationale: Respiratory assessment is critical due to the low Apgar score and ventilation needs, indicating potential distress. Hemoglobin, hematocrit, glucose, and temperature are less immediate concerns.
Extract:
A newborn who has spinal bifida
Question 4 of 5
Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The prone position minimizes pressure on the spina bifida lesion, reducing trauma and infection risk. Rectal temperatures, dry dressings, and snug diapers increase infection or damage risk.
Extract:
A client who is 36 hours postpartum, breasts soft, warm, tender, no nipple discomfort, fundus boggy, 1 cm above umbilicus, deviated to right, becomes firm with massage, abdominal cramping pain rated 8/10, moderate lochia rubra, given analgesic
Question 5 of 5
Which of the following complications poses the greatest risk for the client?
Correct Answer: A
Rationale: A boggy fundus indicates uterine atony, a leading cause of postpartum hemorrhage, posing the greatest risk. Infection, thrombophlebitis, and embolism are less likely based on the findings.