ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is 1 hour postpartum, large amount of lochia rubra and several small clots on perineal pad, fundus midline and firm at umbilicus
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A large amount of lochia rubra and clots suggests possible postpartum hemorrhage, requiring provider notification despite a firm fundus. Monitoring, bladder emptying, and massage are secondary.
Extract:
A patient who is in labor
Question 2 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 30 minutes old
Question 3 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome is the greatest risk due to potential airway obstruction and respiratory distress from meconium in the amniotic fluid. Birth weight, gestational age, and FUA (a less immediate concern) are not as critical in the first 30 minutes.
Extract:
A newborn who has just delivered, secretions bubbling out of the nose and mouth
Question 4 of 5
Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Suctioning the mouth first clears the airway, preventing aspiration of secretions. Side positioning, nose suctioning, and catheters are secondary or less appropriate.
Extract:
A patient who has been admitted to the labor and delivery unit
Question 5 of 5
What condition is the patient most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?
Correct Answer: A
Rationale: Preterm labor is likely, requiring tocolytics to reduce contractions, with contraction frequency monitored to assess progress. Specific details are lacking but align with the scenario.