ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn's parent
Question 1 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 newborn immediately after birth
Question 2 of 5
Once a patent airway has been ensured, what should be the nurse's priority action?
Correct Answer: D
Rationale: Drying the skin prevents hypothermia due to evaporation of amniotic fluid, a critical immediate need to maintain thermoregulation. Vitamin K, eye prophylaxis, and identification are important but not as urgent as preventing heat loss.
Extract:
A client who is a primigravida, at term, and having contractions but is unsure if she is in labor
Question 3 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: Changes in the cervix (effacement and dilation) are the definitive signs of true labor, distinguishing it from false labor. Contraction patterns, membrane rupture, and station changes are not specific to true labor.
Extract:
A newborn who is small for gestational age (SGA)
Question 4 of 5
Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at high risk for hypoglycemia due to limited glycogen stores, making blood glucose monitoring the priority. Temperature, weight, and stimulation are important but secondary.
Extract:
A client who is receiving magnesium sulfate to manage preeclampsia
Question 5 of 5
Which of the following observations should the nurse immediately report to the healthcare provider?
Correct Answer: C
Rationale: Low urinary output (40 ml in 2 hours) suggests oliguria, a sign of magnesium toxicity or renal impairment, requiring immediate reporting. Normal respiratory rate, headache, and fetal heart rate are less urgent.