ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is 2 days postpartum, is breastfeeding, and reports nipple soreness
Question 1 of 5
Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: A,B,C
Rationale: A: Starting with the less sore nipple reduces pain as the infant sucks more vigorously initially. B: Changing positions distributes pressure, preventing further irritation. C: Breast milk has antibacterial properties that soothe and heal sore nipples. D: Massaging may increase irritation. E: Breast pads manage leakage but do not directly reduce soreness.
Extract:
A newborn who is 30 minutes old
Question 2 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome is the greatest risk due to potential airway obstruction and respiratory distress from meconium in the amniotic fluid. Birth weight, gestational age, and FUA (a less immediate concern) are not as critical in the first 30 minutes.
Extract:
A newborn 2 hours after birth
Question 3 of 5
Which four observations should the nurse report to the healthcare provider?
Correct Answer: B,C
Rationale: B: Abnormal respiratory findings (e.g., distress) are critical post-birth. C: Glucose levels are vital, especially in at-risk newborns, to prevent hypoglycemia. A and D are monitored but less urgent unless abnormal.
Extract:
A patient who is in her second trimester, new diagnosis of gestational diabetes
Question 4 of 5
Which of the following statements by the patient indicates a need for further teaching?
Correct Answer: A
Rationale: Reducing exercise to 3 days a week is inadequate; 150 minutes weekly is recommended for gestational diabetes management. Other statements align with proper care.
Extract:
A newborn who has just delivered, secretions bubbling out of the nose and mouth
Question 5 of 5
Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Suctioning the mouth first clears the airway, preventing aspiration of secretions. Side positioning, nose suctioning, and catheters are secondary or less appropriate.