ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. A nonstress test (NST) in the obstetrician's office revealed a nonreactive tracing. On artificial rupture of membranes, thick meconium-stained fluid was noted.
Question 1 of 5
What should the nurse caring for the infant after birth anticipate?
Correct Answer: A
Rationale: Post-term infants risk meconium aspiration from stress, hypoglycemia from glycogen depletion, and dry skin from prolonged amniotic exposure. Other options describe unrelated conditions.
Extract:
A client who has a diagnosis of preterm labor.
Question 2 of 5
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates an order by the provider for which of the following medications?
Correct Answer: C
Rationale: Terbutaline, a tocolytic, delays preterm labor by relaxing uterine muscle, unlike uterotonic agents like prostaglandin, methylergonovine, or oxytocin.
Extract:
A client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min.
Question 3 of 5
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: Cesarean birth is appropriate for placenta previa with heavy bleeding to prevent fetal hypoxia and hemorrhage. Pushing and examination worsen bleeding; magnesium is unrelated.
Extract:
A preterm newborn.
Question 4 of 5
A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?
Correct Answer: D
Rationale: Clustering care minimizes disruptions, promoting rest and growth. Fingertip touch overstimulation, prone positioning risks SIDS, and bright lighting disrupts circadian development.
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios.
Question 5 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: C
Rationale: Polyhydramnios is defined as excessive amniotic fluid (>2,000 mL or AFI >25 cm), potentially causing complications but not directly indicating other options.