ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A patient who is 36 hours postpartum, breasts soft, warm, tender, no nipple discomfort, fundus boggy, 1 cm above umbilicus, deviated to right, becomes firm with massage, pain 4/10, moderate lochia rubra, voided 250 mL, fundus midline after voiding
Question 1 of 5
Which of the following complications pose a greater risk for the patient?
Correct Answer: C
Rationale: A boggy uterus indicates uterine atony, risking postpartum hemorrhage, the greatest concern. Clots, pain, and engorgement are less critical based on the findings.
Extract:
A newborn who has just delivered, secretions bubbling out of the nose and mouth
Question 2 of 5
Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Suctioning the mouth first clears the airway, preventing aspiration of secretions. Side positioning, nose suctioning, and catheters are secondary or less appropriate.
Extract:
A patient who has been admitted to the labor and delivery unit
Question 3 of 5
What condition is the patient most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?
Correct Answer: A
Rationale: Preterm labor is likely, requiring tocolytics to reduce contractions, with contraction frequency monitored to assess progress. Specific details are lacking but align with the scenario.
Extract:
A client, Gravida 4 Para 3, 32 weeks of gestation, BMI of 32, history of two newborns weighing over 4.5 kg, family history of type one diabetes mellitus (maternal), fetal heart tones 140/min via doppler
Question 4 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,B,D
Rationale: A: Non-stress tests monitor fetal well-being in high-risk pregnancies. B: Limiting carbohydrates to 40% helps control glucose levels. D: Metformin may be prescribed for gestational diabetes risk. C: Random glucose checks are less effective than targeted monitoring.
Extract:
A client with preeclampsia who is being treated with IV magnesium sulfate, respiratory rate is 10/min, deep-tendon reflexes are absent
Question 5 of 5
What action should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium toxicity, requiring immediate discontinuation of the infusion to prevent respiratory depression or cardiac arrest. Cesarean preparation, Trendelenburg positioning, and glucose assessment are not indicated for magnesium toxicity.