ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is at 36 weeks of gestation and who has a suspected placenta previa
Question 1 of 5
Which of the following findings support this diagnosis?
Correct Answer: B
Rationale: Painless red vaginal bleeding is a hallmark of placenta previa, caused by the placenta covering the cervix. Painful bleeding or mucus suggests other conditions like labor or abruption.
Extract:
A client who is 3 weeks postpartum following the birth of a healthy newborn, reports feeling down and sad, having no energy, and wanting to cry
Question 2 of 5
What should be the nurse's priority action?
Correct Answer: A
Rationale: Asking about thoughts of harming the newborn assesses for postpartum depression with potential risk to the infant, prioritizing safety. Teaching, coping skills, and anticipating medication are secondary to ensuring immediate safety.
Extract:
A client who is in active labor when the client's membranes rupture, fetal monitor tracing shows late decelerations
Question 3 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 receiving opioid epidural analgesia during labor
Question 4 of 5
Which of the following observations should the nurse prioritize?
Correct Answer: C
Rationale: Hypotension (80/56 mm Hg) is a critical complication of epidural analgesia, risking maternal and fetal perfusion. Itching, fever, and weakness are less urgent.
Extract:
A client who is in her first trimester of pregnancy, upset because she and her husband planned this pregnancy but she is having doubts and second thoughts
Question 5 of 5
What is an appropriate response by the nurse?
Correct Answer: D
Rationale: Validating ambivalent feelings normalizes the client's experience, reducing anxiety. Counseling, family discussions, or dismissive reassurance are less supportive initially.