ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client during the first trimester of pregnancy, blood work shows no immunity to rubella
Question 1 of 5
When should the nurse understand is the recommended time for rubella immunization?
Correct Answer: A
Rationale: Rubella immunization (MMR vaccine) is given post-delivery to avoid risks from the live virus during pregnancy, protecting future pregnancies.
Extract:
A client who is receiving magnesium sulfate to manage preeclampsia
Question 2 of 5
Which of the following observations should the nurse immediately report to the healthcare provider?
Correct Answer: C
Rationale: Low urinary output (40 ml in 2 hours) suggests oliguria, a sign of magnesium toxicity or renal impairment, requiring immediate reporting. Normal respiratory rate, headache, and fetal heart rate are less urgent.
Extract:
A newborn delivered via emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar score 5 at 1 min, positive pressure ventilation given for 1 min followed by free flow oxygen
Question 3 of 5
What finding should the nurse report to the provider?
Correct Answer: D
Rationale: Respiratory assessment is critical due to the low Apgar score and ventilation needs, indicating potential distress. Hemoglobin, hematocrit, glucose, and temperature are less immediate concerns.
Extract:
A newborn 2 hours after birth
Question 4 of 5
Which four observations should the nurse report to the healthcare provider?
Correct Answer: B,C
Rationale: B: Abnormal respiratory findings (e.g., distress) are critical post-birth. C: Glucose levels are vital, especially in at-risk newborns, to prevent hypoglycemia. A and D are monitored but less urgent unless abnormal.
Extract:
A client who is in active labor and notes that the presenting part is at 0 station
Question 5 of 5
Which of the following is the correct interpretation of this clinical finding?
Correct Answer: D
Rationale: 0 station indicates the presenting part is at the level of the ischial spines, the midpoint of the pelvis. Other options describe different aspects of labor not related to station.