ATI RN
ATI Maternity Exam 2 Questions
Extract:
Maternal condition.
Question 1 of 5
Which maternal condition always necessitates delivery by cesarean section?
Correct Answer: D
Rationale:
Total placenta previa, where the placenta fully covers the cervix, requires cesarean delivery due to the risk of severe hemorrhage with vaginal delivery.
Extract:
Assessing a full-term, quiet, alert newborn.
Question 2 of 5
While assessing the newborn, the nurse should be aware that the average expected apical pulse range of a full-term, quiet, alert newborn is __ beats/min.
Correct Answer: B
Rationale: The normal apical pulse range for a full-term, quiet, alert newborn is 120 to 160 beats per minute, reflecting their high metabolic rate and oxygen demand.
Extract:
Adllent, 1 day postpartum, is being monitored after a postpartum hemorrhage.
Question 3 of 5
Which of the following should the nurse report to the obstetrician?
Correct Answer: D
Rationale: A drop in hematocrit of 6% since admission is a significant change that suggests anemia due to excessive blood loss, which should be reported to the obstetrician immediately.
Extract:
Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman, the baby appears jittery, irritable, and has a high-pitched cry.
Question 4 of 5
Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?
Correct Answer: B
Rationale: Testing the blood glucose level is critical as these symptoms suggest hypoglycemia, common in neonates of diabetic mothers due to increased insulin production.
Extract:
A pregnant woman at 30 weeks of gestation in preterm labor, physician orders betamethasone 12 mg IM for two doses.
Question 5 of 5
A nurse is caring for a pregnant woman at 30 weeks of gestation in preterm labor. The woman's physician orders betamethasone 12 mg IM for two doses, with the first dose to begin at 11 am. In implementing this order, the nurse should:
Correct Answer: B
Rationale: Scheduling the second dose of betamethasone 24 hours after the first (11 am next day) ensures optimal fetal lung maturation.