ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who is small for gestational age (SGA)
Question 1 of 5
Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at high risk for hypoglycemia due to limited glycogen stores, making blood glucose monitoring the priority. Temperature, weight, and stimulation are important but secondary.
Extract:
A newborn delivered via cesarean birth approximately 1 hr ago, Apgar Scores 8 and 9, Vitamin K administered, weight 4337 grams (9 lb 9 oz), length 52 cm (20.5 in), gestational age 39 weeks, large for gestational age, jittery, decreased muscle tone
Question 2 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, two actions, and two parameters to monitor
Correct Answer: A,B,C
Rationale: Condition: Hypoglycemia (due to LGA and symptoms). Actions: A: Check glucose levels to confirm hypoglycemia. B: Use a radiant warmer to maintain temperature. Parameters: C: Monitor temperature to ensure thermoregulation. D: Bowel movements are less relevant.
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 client who is a primigravida, at term, and having contractions but is unsure if she is in labor
Question 4 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: Changes in the cervix (effacement and dilation) are the definitive signs of true labor, distinguishing it from false labor. Contraction patterns, membrane rupture, and station changes are not specific to true labor.
Extract:
A patient who is in labor
Question 5 of 5
Which of the following complications should the nurse identify that the patient is at risk of developing?
Correct Answer: A
Rationale: Without specific details, chorioamnionitis is a plausible risk during labor, especially with prolonged rupture of membranes. Other conditions require specific risk factors not provided.