ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client 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, abdominal cramping pain rated 8/10, moderate lochia rubra, given analgesic
Question 1 of 5
Which of the following complications poses the greatest risk for the client?
Correct Answer: A
Rationale: A boggy fundus indicates uterine atony, a leading cause of postpartum hemorrhage, posing the greatest risk. Infection, thrombophlebitis, and embolism are less likely based on the findings.
Extract:
A newborn who was born small for gestational age
Question 2 of 5
Which of the following should the nurse include as a potential cause of this condition?
Correct Answer: D
Rationale: Placental insufficiency restricts nutrient and oxygen delivery, leading to SGA. Asphyxia affects acute distress, preterm delivery affects size relative to gestational age, and hyperinsulinemia causes macrosomia.
Extract:
A patient who is in labor
Question 3 of 5
Which of the following complications should the nurse identify that the patient is at risk of developing?
Correct Answer: A
Rationale: Without specific details, chorioamnionitis is a plausible risk during labor, especially with prolonged rupture of membranes. Other conditions require specific risk factors not provided.
Extract:
A client who is suspected to have an ectopic pregnancy at 8 weeks of gestation
Question 4 of 5
What symptoms should the nurse expect to observe that are consistent with this diagnosis?
Correct Answer: A
Rationale: Unilateral, cramp-like pain is typical of ectopic pregnancy due to tubal irritation. Severe nausea, excessive uterine growth, and heavy bleeding are less common or indicate other conditions.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes, has respiratory distress syndrome
Question 5 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia in infants of diabetic mothers increases oxygen demand and delays lung maturation, contributing to respiratory distress syndrome. Viscosity, injuries, and fat deposits are not primary causes.