ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 1 of 5
Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: A
Rationale: Cervical dilation confirms true labor, unlike amniotic fluid, pain location, or bloody show, which are less definitive indicators.
Extract:
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are hard and warm to palpation.
Question 2 of 5
Which of the following interpretations of these findings should the nurse make?
Correct Answer: B
Rationale: The findings are normal for 3 days postpartum (involuting uterus, moderate lochia, engorged breasts), requiring no additional interventions, unlike mastitis, which includes fever, or the need for bra removal or heat.
Extract:
A nurse in a clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron-fortified formula.
Question 3 of 5
Which of the following should be included in the teaching?
Correct Answer: C
Rationale: Infants' iron stores deplete around 4-6 months, necessitating iron-fortified formula to prevent deficiency anemia, unlike the other options, which are inaccurate or unrelated to the primary reason for iron supplementation.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min.
Question 4 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Placing the client in a lateral position is the priority for hypotension post-epidural, improving venous return and uteroplacental perfusion, unlike leg elevation, notification, or monitoring.
Extract:
A nurse is caring for a client who is at 40 weeks of gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg.
Question 5 of 5
Which of the following nursing interventions should the nurse perform?
Correct Answer: A
Rationale: Turning the client onto her side improves blood pressure and uteroplacental perfusion in hypotension, unlike preparing for cesarean, vaginal delivery, or upright positioning.