ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation.
Question 1 of 5
Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: B
Rationale: Unilateral, cramp-like abdominal pain is a hallmark of ectopic pregnancy due to tubal implantation, unlike heavy bleeding, excessive uterine growth, or severe nausea, which are less specific.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min.
Question 2 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Placing the client in a lateral position is the priority for hypotension post-epidural, improving venous return and uteroplacental perfusion, unlike leg elevation, notification, or monitoring.
Extract:
A nurse is caring for a client who is considering several methods of contraception.
Question 3 of 5
Which of the following methods of contraception should the nurse identify as being the most reliable?
Correct Answer: C
Rationale: An IUD is the most reliable contraception method with over 99% effectiveness, due to its long-acting nature and minimal user error, compared to condoms (85%), diaphragms (88%), or oral contraceptives (91%).
Extract:
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Question 4 of 5
The nurse should document what Apgar score for this infant?
Correct Answer: A
Rationale: The Apgar score is 8: appearance (1, pink body, blue extremities), pulse (2, >100/min), grimace (2, cries to suctioning), activity (2, flexed extremities), respiration (1, weak cry), indicating good health.
Extract:
A nurse is teaching a client who is at 23 weeks of gestation about immunizations.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during pregnancy to protect mother and baby, unlike rubella (safe in breastfeeding), varicella (avoided in pregnancy), or Tdap (given in pregnancy).