ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is suspected of having a hydatidiform mole
Question 1 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 following delivery
Question 2 of 5
Which nursing action should be done first to care for the newborn?
Correct Answer: C
Rationale: Clearing the respiratory tract ensures a patent airway, preventing aspiration of mucus or fluid, and is the first priority. Drying, stimulation, and cord cutting follow.
Extract:
A newborn 2 hours after birth
Question 3 of 5
Which four observations should the nurse report to the healthcare provider?
Correct Answer: B,C
Rationale: B: Abnormal respiratory findings (e.g., distress) are critical post-birth. C: Glucose levels are vital, especially in at-risk newborns, to prevent hypoglycemia. A and D are monitored but less urgent unless abnormal.
Extract:
A client who is receiving opioid epidural analgesia during labor
Question 4 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 in labor who has had epidural anesthesia for pain relief
Question 5 of 5
Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, risking perfusion. Vomiting, tachycardia, and respiratory depression are less frequent.