ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for an adolescent client who is gravida 1, para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.
Question 1 of 5
Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: D
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically shows hyperreflexia (>+2), unlike elevated BP, proteinuria, or edema.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 2 of 5
The nurse interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow causes fetal hypoxia, unlike maternal bradycardia, cord compression (variable decelerations), or head compression (early decelerations).
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 3 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 observing a new mother bathing her newborn son for the first time.
Question 4 of 5
For which of the following actions should the nurse intervene?
Correct Answer: A
Rationale: Using a cotton-tipped swab to clean the nares can push debris further or cause injury, requiring intervention, whereas the other actions align with safe newborn care practices.
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 5 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.