ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is suspected to have an ectopic pregnancy at 8 weeks of gestation
Question 1 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.
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 2 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 mother and her baby in the postpartum unit, baby approximately 2 hours old
Question 3 of 5
Which of the following is NOT a symptom of transient tachypnea of the newborn?
Correct Answer: A
Rationale: A heart rate of 170 is not specific to transient tachypnea, which involves respiratory symptoms like grunting, nasal flaring, and tachypnea (respirations of 72).
Extract:
A client who is a primigravida, at term, and having contractions but is unsure if she is in labor
Question 4 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: Changes in the cervix (effacement and dilation) are the definitive signs of true labor, distinguishing it from false labor. Contraction patterns, membrane rupture, and station changes are not specific to true labor.
Extract:
A newborn who is postmature
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Postmature newborns have cracked, peeling skin due to prolonged amniotic fluid exposure and reduced vernix. Lanugo, short nails, and vernix are typical of preterm or term infants.