ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is discussing risk factors of postpartum haemorrhage with a newly licensed nurse.
Question 1 of 5
Which of the following conditions is a risk factor for postpartum haemorrhage that the nurse should include in the teaching?
Correct Answer: B
Rationale: Retained placental fragments prevent uterine contraction, increasing postpartum hemorrhage risk, and should be included in teaching. Hypertension, oligohydramnios, and meconium-stained fluid are not direct risk factors.
Extract:
A nurse in a newborn nursery is receiving change-of-shift report for four newborns.
Question 2 of 5
Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: New onset tachypnea (respiratory rate >60/min) in a 10-hour-old newborn suggests respiratory distress or serious conditions like sepsis, requiring immediate assessment. Feeding issues, delayed meconium, and blood-tinged discharge are less urgent.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A postpartum client needs a diaphragm refit due to vaginal changes after delivery to ensure effectiveness. Gentle soap is correct but not the priority, the diaphragm should stay in for 6 hours, and oil-based lubricants damage it.
Extract:
A nurse is performing an assessment of a newborn's Babinski reflex.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The Babinski reflex in newborns shows eversion (fanning) of the great toe with stroking the sole, a normal finding. Forearm flexion, toe curling, or leg extension are not associated with this reflex.
Extract:
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally.
Question 5 of 5
Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: D
Rationale: Hearing loss is a common finding in newborns with congenital CMV acquired transplacentally, affecting many symptomatic infants. Macrosomia, cataracts, and urinary tract infections are not typical manifestations.