ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is 6 hours postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider.
Question 1 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The indirect Coombs test detects maternal antibodies that could cause hemolytic disease in an Rh-positive newborn, unlike newborn antibody tests, kernicterus risk, or maternal antibodies in the newborn.
Extract:
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 2 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Placing the client in the knee-chest position is the first action for cord prolapse, relieving pressure to restore fetal oxygenation, unlike covering, manual relief, or delivery prep.
Extract:
A nurse is preparing to administer liquid mycostatin 600,000 units PO TID. Available is mycostatin 100,000 units/mL.
Question 3 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To administer 600,000 units with mycostatin at 100,000 units/mL, divide 600,000 by 100,000, yielding 6 mL per dose.
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 4 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical changes (effacement and dilation) are the most reliable sign of true labor, unlike contraction patterns, station, or membrane rupture, which are less definitive.
Extract:
A nurse is caring for a client who is 12 hours postpartum following a vaginal delivery.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: At 12 hours postpartum, the fundus should be firm and at the umbilicus, indicating normal uterine involution, unlike soft or displaced fundus, which suggest complications.