ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is breastfeeding about managing breast engorgement
Question 1 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.
Extract:
A newborn 2 hours after birth
Question 2 of 5
Which four observations should the nurse report to the healthcare provider?
Correct Answer: B,C
Rationale: B: Abnormal respiratory findings (e.g., distress) are critical post-birth. C: Glucose levels are vital, especially in at-risk newborns, to prevent hypoglycemia. A and D are monitored but less urgent unless abnormal.
Extract:
A patient who experienced a vaginal birth 3 hours ago, fundus displaced to the right, firm, two fingerbreadths above the umbilicus
Question 3 of 5
What actions should the nurse complete at this time?
Correct Answer: C
Rationale: A displaced, firm fundus suggests a full bladder; having the patient urinate corrects displacement. Catheterization, massage, and analgesics are unnecessary with a firm fundus.
Extract:
A newborn who is 4 hours old
Question 4 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 client who is pregnant, Gravida 4 Para 3, 33 weeks of gestation, allergies: sulfa, height 165 cm, weight 82 kg, BMI 30.6, 32 kg weight gain over the last 2 weeks
Question 5 of 5
Select the assessment findings the nurse should report to the provider
Correct Answer: D
Rationale: Rapid weight gain (32 kg in 2 weeks) suggests fluid retention, a potential sign of preeclampsia, requiring immediate reporting. Other findings are routine or non-urgent.