ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
An antepartum unit is triaging clients
Question 1 of 5
Which of the following clients should the nurse prioritize?
Correct Answer: A
Rationale: Painless vaginal bleeding at 28 weeks suggests placenta previa or abruption, both emergencies requiring immediate attention. Spotting, nausea, and cough are less urgent.
Extract:
A client who is 2 hr postpartum following a vaginal birth
Question 2 of 5
Which of the following findings indicates the client's bladder is distended?
Correct Answer: A
Rationale: A distended bladder displaces the fundus to the right due to pressure on the uterus. Contractions, thirst, and minimal lochia are not related to bladder distension.
Extract:
An adolescent client who has pelvic inflammatory disease due to a sexually transmitted infection, concerned about parental disclosure
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acknowledging the client's fear validates emotions and supports autonomy, respecting confidentiality laws. Other responses risk undermining privacy or pressuring disclosure.
Extract:
A client who is receiving magnesium sulfate to manage preeclampsia
Question 4 of 5
Which of the following observations should the nurse immediately report to the healthcare provider?
Correct Answer: C
Rationale: Low urinary output (40 ml in 2 hours) suggests oliguria, a sign of magnesium toxicity or renal impairment, requiring immediate reporting. Normal respiratory rate, headache, and fetal heart rate are less urgent.
Extract:
A newborn who is 4 hours old
Question 5 of 5
Which condition poses the greatest risk to the newborn?
Correct Answer: D
Rationale: Congenital cardiac defects are the most common and potentially life-threatening birth defects, affecting blood flow and oxygenation. NAS, DDH, and subgaleal hemorrhage are serious but less immediately critical.