ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who is 56 hours old, awake, alert, crying, pink with acrocyanosis, respiratory rate 70/min, no retractions, grunting, or nasal flaring, jitteriness in hands, poor feeding, poor suck, loose stool
Question 1 of 5
Which of the following assessment findings is consistent with neonatal abstinence syndrome (NAS)?
Correct Answer: D
Rationale: Jitteriness, along with poor feeding and loose stools, is consistent with NAS, indicating opioid withdrawal. Other findings are normal or non-specific.
Extract:
A client who is in active labor with 7 cm of cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, suddenly states she needs to push
Question 2 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Panting prevents premature pushing, which can cause cervical swelling or tearing before full dilation. Positioning, voiding, and crowning observation are secondary until full dilation is confirmed.
Extract:
A newborn who is 4 hours old
Question 3 of 5
Which of the following complications should the nurse recognize that the newborn is at risk for developing?
Correct Answer: C
Rationale: Low birth weight increases hypoglycemia risk due to limited glycogen stores. NAS, jaundice, and sepsis require specific evidence not provided here.
Extract:
A patient who is at 22 weeks of gestation, unable to control gestational diabetes mellitus with diet and exercise
Question 4 of 5
Which of the following medications should the nurse anticipate the provider will prescribe?
Correct Answer: C
Rationale: Insulin is the preferred treatment for gestational diabetes in pregnancy, as it does not cross the placenta and safely controls glucose. Oral agents are less commonly used.
Extract:
A client who is breastfeeding about managing breast engorgement
Question 5 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: Frequent feedings every 2 hours prevent milk buildup, reducing engorgement. Cold compresses, herbal tea, and single-breast drainage are less effective or inappropriate.