ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 1 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Placing the client in the knee-chest position is the first action for cord prolapse, relieving pressure to restore fetal oxygenation, unlike covering, manual relief, or delivery prep.
Extract:
A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow.
Question 2 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Slightly yellow skin in a term newborn suggests physiologic jaundice, common due to immature liver function, unlike vitamin K deficiency, cocaine exposure, or blood group incompatibility.
Extract:
A nurse is assessing a client for postpartum infection.
Question 3 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?
Correct Answer: A
Rationale: Pelvic pain is a key symptom of endometritis, warranting further evaluation, unlike hematuria, breast tenderness (mastitis), or lochia without foul odor.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 4 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, requiring further evaluation, unlike joint pain, discharge, or increased urine output, which are unrelated.
Extract:
A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 minutes.
Question 5 of 5
Which of the following actions should the nurse perform?
Correct Answer: D
Rationale: Offering a snack like orange juice stimulates fetal movement for the nonstress test, a non-invasive first step, unlike premature reporting, repositioning, or walking.