ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is at 30 weeks of gestation and is in preterm labor, has a new prescription for betamethasone
Question 1 of 5
Which of the following explanations should the nurse provide?
Correct Answer: C
Rationale: Betamethasone enhances fetal lung maturity by stimulating surfactant production, reducing the risk of respiratory distress syndrome in preterm infants. It does not affect heart rate, stop contractions, or halt dilation.
Extract:
A client who is receiving opioid epidural analgesia during labor
Question 2 of 5
Which of the following observations should the nurse prioritize?
Correct Answer: C
Rationale: Hypotension (80/56 mm Hg) is a critical complication of epidural analgesia, risking maternal and fetal perfusion. Itching, fever, and weakness are less urgent.
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 client who is suspected of having a hydatidiform mole
Question 4 of 5
Which of the following findings should the nurse expect to observe in this client?
Correct Answer: D
Rationale: Excessive uterine enlargement is characteristic of a hydatidiform mole due to trophoblastic overgrowth. High hCG levels, grape-like vaginal bleeding, and absence of a fetus are typical, not the other options.
Extract:
A newborn diagnosed with hydrocephalus
Question 5 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.