ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is in active labor and notes late decelerations in the FHR
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Changing the client's position (e.g., to the side) is the first action to improve uteroplacental blood flow and fetal oxygenation, addressing late decelerations caused by reduced placental perfusion. Oxygen, scalp electrode, and IV rate adjustments are secondary actions.
Extract:
An infant who is receiving phototherapy
Question 2 of 5
Which of the following findings requires intervention by the nurse?
Correct Answer: A
Rationale: Lotion blocks phototherapy light, reducing its effectiveness, requiring intervention. Eye masks, increased stools, and rashes are expected or benign.
Extract:
A patient who has recently given birth, history of receiving a transfusion with Rh-negative blood, nurse expects hyperbilirubinemia due to Rh incompatibility
Question 3 of 5
What is the reason for hyperbilirubinemia occurring with Rh incompatibility?
Correct Answer: C
Rationale: The correct answer is not listed, but hyperbilirubinemia occurs because maternal anti-Rh antibodies cross the placenta, causing hemolysis of fetal Rh-positive red blood cells, increasing bilirubin. The listed options are incorrect.
Extract:
A client who is in active labor when the client's membranes rupture, fetal monitor tracing shows late decelerations
Question 4 of 5
What is the first action the nurse should take?
Correct Answer: A
Rationale: Turning the client onto her side improves placental blood flow, addressing late decelerations due to uteroplacental insufficiency. IV fluids, palpation, and oxygen are secondary actions.
Extract:
A newborn who was born small for gestational age
Question 5 of 5
Which of the following should the nurse include as a potential cause of this condition?
Correct Answer: D
Rationale: Placental insufficiency restricts nutrient and oxygen delivery, leading to SGA. Asphyxia affects acute distress, preterm delivery affects size relative to gestational age, and hyperinsulinemia causes macrosomia.