ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is 3 weeks postpartum following the birth of a healthy newborn, reports feeling down and sad, having no energy, and wanting to cry
Question 1 of 5
What should be the nurse's priority action?
Correct Answer: A
Rationale: Asking about thoughts of harming the newborn assesses for postpartum depression with potential risk to the infant, prioritizing safety. Teaching, coping skills, and anticipating medication are secondary to ensuring immediate safety.
Extract:
A newborn who is 4 hours old
Question 2 of 5
Which condition poses the greatest risk to the newborn?
Correct Answer: D
Rationale: Congenital cardiac defects are the most common and potentially life-threatening birth defects, affecting blood flow and oxygenation. NAS, DDH, and subgaleal hemorrhage are serious but less immediately critical.
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 term macrosomic newborn whose mother has poorly controlled type 2 diabetes, has respiratory distress syndrome
Question 4 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 postpartum client
Question 5 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.