ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A postpartum client
Question 1 of 5
Which of the following expectations about postpartum changes has the client correctly understood?
Correct Answer: B
Rationale: Breast engorgement causes harder, warmer, tender breasts, a normal postpartum change. Stool transition takes longer, abdominal discomfort varies, and energy levels may not increase soon.
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 client who is in active labor when the client's membranes rupture, fetal monitor tracing shows late decelerations
Question 3 of 5
What is the first action the nurse should take?
Correct Answer: A
Rationale: Turning the client onto her side improves placental blood flow, addressing late decelerations due to uteroplacental insufficiency. IV fluids, palpation, and oxygen are secondary actions.
Extract:
A patient who is at 22 weeks of gestation, unable to control gestational diabetes mellitus with diet and exercise
Question 4 of 5
Which of the following medications should the nurse anticipate the provider will prescribe?
Correct Answer: C
Rationale: Insulin is the preferred treatment for gestational diabetes in pregnancy, as it does not cross the placenta and safely controls glucose. Oral agents are less commonly used.
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios
Question 5 of 5
What does this diagnosis mean?
Correct Answer: C
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to fetal anomalies or maternal conditions like diabetes. It is not directly caused by multiple fetuses, congenital anomalies alone, or elevated AFP.