ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A patient who has recently given birth, history of receiving a transfusion with Rh-negative blood, nurse expects hyperbilirubinemia due to Rh incompatibility
Question 1 of 5
What is the reason for hyperbilirubinemia occurring with Rh incompatibility?
Correct Answer: C
Rationale: The correct answer is not listed, but hyperbilirubinemia occurs because maternal anti-Rh antibodies cross the placenta, causing hemolysis of fetal Rh-positive red blood cells, increasing bilirubin. The listed options are incorrect.
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 patient who has been admitted to the labor and delivery unit
Question 3 of 5
What condition is the patient most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?
Correct Answer: A
Rationale: Preterm labor is likely, requiring tocolytics to reduce contractions, with contraction frequency monitored to assess progress. Specific details are lacking but align with the scenario.
Extract:
A newborn following delivery
Question 4 of 5
Which nursing action should be done first to care for the newborn?
Correct Answer: C
Rationale: Clearing the respiratory tract ensures a patent airway, preventing aspiration of mucus or fluid, and is the first priority. Drying, stimulation, and cord cutting follow.
Extract:
A client who is suspected to have an ectopic pregnancy at 8 weeks of gestation
Question 5 of 5
What symptoms should the nurse expect to observe that are consistent with this diagnosis?
Correct Answer: A
Rationale: Unilateral, cramp-like pain is typical of ectopic pregnancy due to tubal irritation. Severe nausea, excessive uterine growth, and heavy bleeding are less common or indicate other conditions.