ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who is 4 hours old
Question 1 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 at 34 weeks of gestation and at risk for placental abruption
Question 2 of 5
What is the most common risk factor for abruption?
Correct Answer: D
Rationale: Hypertension (chronic or gestational) is the most common risk factor for placental abruption, damaging uterine vessels. Trauma, smoking, and cocaine are less common causes.
Extract:
A client reporting severe abdominal pain in the left lower quadrant, provider suspects a ruptured ectopic pregnancy
Question 3 of 5
Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign (periumbilical bruising) indicates intraperitoneal bleeding, consistent with a ruptured ectopic pregnancy. Other signs relate to pregnancy or hypocalcemia.
Extract:
A newborn diagnosed with hydrocephalus
Question 4 of 5
Which of the following symptoms should the nurse anticipate?
Correct Answer: B
Rationale: Dilated scalp veins result from increased intracranial pressure in hydrocephalus. Sloping forehead, overlapping sutures, and hypertension are not typical symptoms.
Extract:
A client who is 1 hour postpartum, large amount of lochia rubra and several small clots on perineal pad, fundus midline and firm at umbilicus
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A large amount of lochia rubra and clots suggests possible postpartum hemorrhage, requiring provider notification despite a firm fundus. Monitoring, bladder emptying, and massage are secondary.