ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is 4 hours postpartum following a vaginal delivery
Question 1 of 5
Which of the following findings should the nurse prioritize?
Correct Answer: B
Rationale: A saturated perineal pad in 30 minutes indicates excessive bleeding, suggestive of postpartum hemorrhage, a life-threatening condition requiring immediate intervention. Fundus at the umbilicus is normal at this stage, approximated episiotomy edges are expected, and 4+ reflexes may suggest preeclampsia but are less urgent in the postpartum period.
Extract:
A patient who has recently given birth, history of receiving a transfusion with Rh-negative blood, nurse expects hyperbilirubinemia due to Rh incompatibility
Question 2 of 5
What is the reason for hyperbilirubinemia occurring with Rh incompatibility?
Correct Answer: C
Rationale: The correct answer is not listed, but hyperbilirubinemia occurs because maternal anti-Rh antibodies cross the placenta, causing hemolysis of fetal Rh-positive red blood cells, increasing bilirubin. The listed options are incorrect.
Extract:
A client who is in active labor and notes that the presenting part is at 0 station
Question 3 of 5
Which of the following is the correct interpretation of this clinical finding?
Correct Answer: D
Rationale: 0 station indicates the presenting part is at the level of the ischial spines, the midpoint of the pelvis. Other options describe different aspects of labor not related to station.
Extract:
A newborn who is 72 hours old, has a Neonatal Abstinence Scoring System (NAS) score of 20
Question 4 of 5
Which of the following prescriptions should the nurse anticipate?
Correct Answer: D
Rationale: A NAS score of 20 indicates significant withdrawal symptoms, warranting oral morphine to manage symptoms and prevent complications. Swaddling, naloxone, and continued scoring are not sufficient.
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios
Question 5 of 5
What does this diagnosis mean?
Correct Answer: C
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to fetal anomalies or maternal conditions like diabetes. It is not directly caused by multiple fetuses, congenital anomalies alone, or elevated AFP.