ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who gave birth 2 hours ago, blood pressure is 60/50 mm Hg
Question 1 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.
Extract:
A client who is considering several methods of contraception
Question 2 of 5
Which of the following methods of contraception should the nurse identify as being most reliable?
Correct Answer: D
Rationale: IUDs are highly reliable due to long-term effectiveness and minimal user error. Condoms, oral contraceptives, and diaphragms have higher failure rates due to inconsistent use.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes, has respiratory distress syndrome
Question 3 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia in infants of diabetic mothers increases oxygen demand and delays lung maturation, contributing to respiratory distress syndrome. Viscosity, injuries, and fat deposits are not primary causes.
Extract:
A newborn who is 4 hours old
Question 4 of 5
Which of the following complications should the nurse recognize that the newborn is at risk for developing?
Correct Answer: C
Rationale: Low birth weight increases hypoglycemia risk due to limited glycogen stores. NAS, jaundice, and sepsis require specific evidence not provided here.
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 5 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.