ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment.
Question 1 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: C
Rationale: Expressions of excitement are typical in the taking-in phase, where mothers process the birth experience, unlike learning skills, appetite changes, or family focus, which occur later.
Extract:
A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27.
Question 2 of 5
What is the client's EDB? (State the date in MMDD format. For example, July 27 is 0727.)
Correct Answer: A
Rationale: Using Naegele's Rule (add 1 year, subtract 3 months, add 7 days), the EDB for an LMP of July 27 is May 4 (0504), assuming a 28-day cycle.
Extract:
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 minute and a frequency of 3 minutes. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.
Question 3 of 5
Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Positioning with one hip elevated addresses low blood pressure (92/54 mm Hg), improving perfusion, unlike notification, voiding, or pain medication, which are secondary.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 4 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, requiring further evaluation, unlike joint pain, discharge, or increased urine output, which are unrelated.
Extract:
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate. The client's respiratory rate is 10/min, and deep-tendon reflexes are absent.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium sulfate toxicity, requiring immediate discontinuation of the infusion to prevent further complications like respiratory arrest.