ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is performing an assessment of a newborn's Babinski reflex.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The Babinski reflex in newborns shows eversion (fanning) of the great toe with stroking the sole, a normal finding. Forearm flexion, toe curling, or leg extension are not associated with this reflex.
Extract:
A nurse is reviewing the electronic medical record of a postpartum client.
Question 2 of 5
Which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: A midline episiotomy increases infection risk due to the surgical incision providing a potential entry for bacteria. Meconium-stained fluid, gestational hypertension, and placenta previa do not directly correlate with maternal postpartum infection risk.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 3 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration is a contraindication to suppositories, as they may cause trauma or delay healing in the perineal area. Abdominal distention may benefit from suppositories, vaginal candidiasis is unrelated, and afterpain does not affect suppository use.
Extract:
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, a serious complication requiring immediate reporting to the provider to prevent respiratory depression or cardiac arrest. Decreased contractions are a desired effect, high blood pressure is unrelated to magnesium toxicity, and urinary output of 35 mL/hr is low but not critical unless it persists.
Extract:
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. The mother states, 'No, the baby is too tired to be held.'
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Demonstrating how to hold the newborn respects the mother's concerns while promoting safe feeding and bonding, allowing practice to build confidence. Taking the baby to the nursery, insisting on holding, or pushing breastfeeding disregards her preferences and may undermine trust.