ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 1 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.
Extract:
A client who is in active labor when the client's membranes rupture, fetal monitor tracing shows late decelerations
Question 2 of 5
What is the first action the nurse should take?
Correct Answer: A
Rationale: Turning the client onto her side improves placental blood flow, addressing late decelerations due to uteroplacental insufficiency. IV fluids, palpation, and oxygen are secondary actions.
Extract:
A client who is 3 days postoperative following a cesarean birth
Question 3 of 5
Which of the following statements from the client indicates that the teaching has been effective?
Correct Answer: B,C,D
Rationale: B: Reporting incision discharge indicates awareness of infection signs. C: Resuming prenatal vitamins supports recovery. D: Recognizing unrelieved pain as abnormal shows understanding of complications. A: Prolonged immobility increases clot risk.
Extract:
A newborn delivered via cesarean birth approximately 1 hr ago, Apgar Scores 8 and 9, Vitamin K administered, weight 4337 grams (9 lb 9 oz), length 52 cm (20.5 in), gestational age 39 weeks, large for gestational age, jittery, decreased muscle tone
Question 4 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, two actions, and two parameters to monitor
Correct Answer: A,B,C
Rationale: Condition: Hypoglycemia (due to LGA and symptoms). Actions: A: Check glucose levels to confirm hypoglycemia. B: Use a radiant warmer to maintain temperature. Parameters: C: Monitor temperature to ensure thermoregulation. D: Bowel movements are less relevant.
Extract:
A newborn who has spinal bifida
Question 5 of 5
Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The prone position minimizes pressure on the spina bifida lesion, reducing trauma and infection risk. Rectal temperatures, dry dressings, and snug diapers increase infection or damage risk.