ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A mother and her baby in the postpartum unit, baby approximately 2 hours old
Question 1 of 5
Which of the following is NOT a symptom of transient tachypnea of the newborn?
Correct Answer: A
Rationale: A heart rate of 170 is not specific to transient tachypnea, which involves respiratory symptoms like grunting, nasal flaring, and tachypnea (respirations of 72).
Extract:
A client during the first trimester of pregnancy, blood work shows no immunity to rubella
Question 2 of 5
When should the nurse understand is the recommended time for rubella immunization?
Correct Answer: A
Rationale: Rubella immunization (MMR vaccine) is given post-delivery to avoid risks from the live virus during pregnancy, protecting future pregnancies.
Extract:
A client, Gravida 4 Para 3, 32 weeks of gestation, BMI of 32, history of two newborns weighing over 4.5 kg, family history of type one diabetes mellitus (maternal), fetal heart tones 140/min via doppler
Question 3 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,B,D
Rationale: A: Non-stress tests monitor fetal well-being in high-risk pregnancies. B: Limiting carbohydrates to 40% helps control glucose levels. D: Metformin may be prescribed for gestational diabetes risk. C: Random glucose checks are less effective than targeted monitoring.
Extract:
A patient who experienced a vaginal birth 3 hours ago, fundus displaced to the right, firm, two fingerbreadths above the umbilicus
Question 4 of 5
What actions should the nurse complete at this time?
Correct Answer: C
Rationale: A displaced, firm fundus suggests a full bladder; having the patient urinate corrects displacement. Catheterization, massage, and analgesics are unnecessary with a firm fundus.
Extract:
A client who is 1 hour postpartum, large amount of lochia rubra and several small clots on perineal pad, fundus midline and firm at umbilicus
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A large amount of lochia rubra and clots suggests possible postpartum hemorrhage, requiring provider notification despite a firm fundus. Monitoring, bladder emptying, and massage are secondary.