ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is at 36 weeks of gestation, reports a mild headache for several days, heartburn, no visual disturbances, vaginal bleeding, or leakage of fluid, occasional contractions, positive fetal movement, unable to remove rings, feels dizzy when standing
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A,B,D
Rationale: A: Headache may indicate preeclampsia. B: Persistent heartburn could suggest complications like preeclampsia. D: Hyperactive reflexes are a preeclampsia sign. C: Respiratory rate is not specified as abnormal.
Extract:
A client who gave birth 2 hours ago, blood pressure is 60/50 mm Hg
Question 2 of 5
What should be the nurse's first action?
Correct Answer: A
Rationale: Evaluating uterine firmness assesses for uterine atony, a common cause of postpartum hemorrhage leading to hypotension. Oxytocin, blood typing, and oxygen are secondary actions after confirming the cause of low blood pressure.
Extract:
A newborn's parent
Question 3 of 5
Which of the following instructions should the nurse include to care for the umbilical cord stump?
Correct Answer: D
Rationale: Sponge baths keep the cord dry, preventing infection and promoting healing. Covering with a diaper, washing, or applying jelly increases infection risk.
Extract:
A client who is 1 hour postpartum, large amount of lochia rubra and several small clots on perineal pad, fundus midline and firm at umbilicus
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A large amount of lochia rubra and clots suggests possible postpartum hemorrhage, requiring provider notification despite a firm fundus. Monitoring, bladder emptying, and massage are secondary.
Extract:
A newborn who is 4 hours old
Question 5 of 5
Which condition poses the greatest risk to the newborn?
Correct Answer: D
Rationale: Congenital cardiac defects are the most common and potentially life-threatening birth defects, affecting blood flow and oxygenation. NAS, DDH, and subgaleal hemorrhage are serious but less immediately critical.