ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA).
Question 1 of 5
Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: A
Rationale: SGA newborns are at risk for meconium aspiration syndrome, so observing for meconium in respiratory secretions is critical, unlike monitoring for hyperglycemia, hyperthermia, or anemia, which are less immediate concerns.
Extract:
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 2 of 5
The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption, damaging uterine blood vessels, unlike trauma, smoking, or cocaine, which are less frequent.
Extract:
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Question 3 of 5
The nurse should document what Apgar score for this infant?
Correct Answer: A
Rationale: The Apgar score is 8: appearance (1, pink body, blue extremities), pulse (2, >100/min), grimace (2, cries to suctioning), activity (2, flexed extremities), respiration (1, weak cry), indicating good health.
Extract:
A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU).
Question 4 of 5
Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: A
Rationale: Peanut butter, high in phenylalanine, must be eliminated for PKU clients to prevent harmful accumulation, unlike potatoes, apple juice, or broccoli, which are low in phenylalanine and safe.
Extract:
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP).
Question 5 of 5
Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: C
Rationale: Changing a perineal pad is within an AP's scope, requiring no clinical judgment, unlike sitz baths, vital sign monitoring, or breast assessments, which need nursing expertise.