ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is 1 hour postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the level of the umbilicus.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Moderate lochia rubra with small clots and a firm, midline fundus is normal 1 hour postpartum, requiring only documentation and continued monitoring.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in the lateral position is the first action to take for late decelerations, as it improves uteroplacental blood flow by relieving pressure on the inferior vena cava, addressing the likely cause of compromised fetal oxygenation.
Extract:
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella.
Question 3 of 5
Which of the following times should the nurse understand is recommended for rubella immunization?
Correct Answer: B
Rationale: Rubella immunization is recommended post-delivery to avoid risks to the fetus from the live virus vaccine, unlike during pregnancy or conception attempts.
Extract:
A nurse is caring for a client who is considering several methods of contraception.
Question 4 of 5
Which of the following methods of contraception should the nurse identify as being the most reliable?
Correct Answer: C
Rationale: An IUD is the most reliable contraception method with over 99% effectiveness, due to its long-acting nature and minimal user error, compared to condoms (85%), diaphragms (88%), or oral contraceptives (91%).
Extract:
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.
Question 5 of 5
Which of the following should the infant receive?
Correct Answer: B
Rationale: Newborns of hepatitis B-positive mothers should receive HBIG and hepatitis B vaccine within 12 hours to prevent infection, unlike delayed or incorrect schedules.