ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a newborn delivered by vaginal birth with vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line.
Question 1 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Caput succedaneum, swelling crossing suture lines from delivery pressure, is common in vacuum-assisted births, unlike Mongolian spots, erythema toxicum, or cephalohematoma, which is confined by sutures.
Extract:
A nurse is teaching a newborn's parent how to care for the umbilical cord stump.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Sponge baths keep the umbilical cord stump dry, promoting healing, unlike petroleum jelly, diaper covering, or daily washing, which can increase infection risk.
Extract:
A nurse is assessing a newborn following a vacuum-assisted delivery.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Poor sucking suggests potential neurological issues post-vacuum delivery, requiring reporting, unlike expected scalp edema, acrocyanosis, or facial edema.
Extract:
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and states that she can 'feel the baby moving.' An ultrasound is scheduled immediately.
Question 4 of 5
The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Correct Answer: C
Rationale: Heavy, painless vaginal bleeding at 38 weeks suggests placenta previa or abruption, so an ultrasound to locate the placenta is critical to diagnose the cause.
Extract:
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking what part of the exam makes the client nervous invites dialogue, allowing the nurse to address specific concerns and promote client comfort, unlike the other options, which either provide inaccurate information or dismiss the client's anxiety.