ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is 12 hours postpartum following a vaginal delivery.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: At 12 hours postpartum, the fundus should be firm and at the umbilicus, indicating normal uterine involution, unlike soft or displaced fundus, which suggest complications.
Extract:
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and states that she can 'feel the baby moving.' An ultrasound is scheduled immediately.
Question 2 of 5
The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Correct Answer: C
Rationale: Heavy, painless vaginal bleeding at 38 weeks suggests placenta previa or abruption, so an ultrasound to locate the placenta is critical to diagnose the cause.
Extract:
A nurse is assessing a client who received magnesium sulfate to treat preterm labor.
Question 3 of 5
Which of the following clinical findings should the nurse identify as an indication of toxicity from magnesium sulfate therapy and report to the provider?
Correct Answer: D
Rationale: Respiratory depression is a critical sign of magnesium sulfate toxicity, requiring immediate reporting and intervention, unlike nausea, drowsiness, or flushing, which are less severe.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hours ago.
Question 4 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: B
Rationale: At 12 hours postpartum, the fundus is expected at the umbilicus, indicating normal involution, unlike higher, lower, or displaced positions.
Extract:
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Urinary frequency occurs in the first and third trimesters due to hormonal changes and uterine pressure, unlike being limited to 12 weeks, ignorable, or unpredictable.