ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 minute and a frequency of 3 minutes. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.
Question 1 of 5
Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Positioning with one hip elevated addresses low blood pressure (92/54 mm Hg), improving perfusion, unlike notification, voiding, or pain medication, which are secondary.
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 assessing a client who received magnesium sulfate to treat preterm labor.
Question 3 of 5
Which of the following clinical findings should the nurse identify as an indication of toxicity from magnesium sulfate therapy and report to the provider?
Correct Answer: D
Rationale: Respiratory depression is a critical sign of magnesium sulfate toxicity, requiring immediate reporting and intervention, unlike nausea, drowsiness, or flushing, which are less severe.
Extract:
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr.
Question 4 of 5
Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: B
Rationale: A respiratory rate of 16/min is within the normal range and indicates no respiratory depression, a critical safety parameter for continuing magnesium sulfate therapy, unlike diminished reflexes or bradycardia, which suggest toxicity.
Extract:
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation.
Question 5 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Newborns with congenital rubella may shed the virus, necessitating isolation to prevent transmission, unlike immune suppression, encephalitis risk, or TORCH infection categorization.