ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is in the first stage of labor, umbilical cord protruding from the vagina
Question 1 of 5
Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia in cord prolapse, an emergency. Other actions follow to maintain cord viability and prepare for delivery.
Extract:
A newborn who is 72 hours old, has a Neonatal Abstinence Scoring System (NAS) score of 20
Question 2 of 5
Which of the following prescriptions should the nurse anticipate?
Correct Answer: D
Rationale: A NAS score of 20 indicates significant withdrawal symptoms, warranting oral morphine to manage symptoms and prevent complications. Swaddling, naloxone, and continued scoring are not sufficient.
Extract:
A patient who is in labor
Question 3 of 5
Which of the following complications should the nurse identify that the patient is at risk of developing?
Correct Answer: A
Rationale: Without specific details, chorioamnionitis is a plausible risk during labor, especially with prolonged rupture of membranes. Other conditions require specific risk factors not provided.
Extract:
A newborn who is small for gestational age (SGA)
Question 4 of 5
Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at high risk for hypoglycemia due to limited glycogen stores, making blood glucose monitoring the priority. Temperature, weight, and stimulation are important but secondary.
Extract:
A client, Gravida 4 Para 3, 32 weeks of gestation, BMI of 32, history of two newborns weighing over 4.5 kg, family history of type one diabetes mellitus (maternal), fetal heart tones 140/min via doppler
Question 5 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,B,D
Rationale: A: Non-stress tests monitor fetal well-being in high-risk pregnancies. B: Limiting carbohydrates to 40% helps control glucose levels. D: Metformin may be prescribed for gestational diabetes risk. C: Random glucose checks are less effective than targeted monitoring.