ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who is 30 minutes old
Question 1 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome is the greatest risk due to potential airway obstruction and respiratory distress from meconium in the amniotic fluid. Birth weight, gestational age, and FUA (a less immediate concern) are not as critical in the first 30 minutes.
Extract:
A client who is at 22 weeks of gestation
Question 2 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks, the fundus is typically slightly above the umbilicus, aligning with the rule that fundal height in centimeters approximates gestational age. Other options correspond to earlier or later gestational stages.
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 3 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 patient who is in labor
Question 4 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 newborn 2 hours after birth
Question 5 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.