ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is considering several methods of contraception
Question 1 of 5
Which of the following methods of contraception should the nurse identify as being most reliable?
Correct Answer: D
Rationale: IUDs are highly reliable due to long-term effectiveness and minimal user error. Condoms, oral contraceptives, and diaphragms have higher failure rates due to inconsistent use.
Extract:
A client who is in active labor and notes late decelerations in the FHR
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Changing the client's position (e.g., to the side) is the first action to improve uteroplacental blood flow and fetal oxygenation, addressing late decelerations caused by reduced placental perfusion. Oxygen, scalp electrode, and IV rate adjustments are secondary actions.
Extract:
A newborn
Question 3 of 5
Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?
Correct Answer: A
Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to obstruction at the pylorus. Bowel sounds are present, sodium levels are typically low, and the mass is in the right upper quadrant.
Extract:
A client with preeclampsia who is being treated with IV magnesium sulfate, respiratory rate is 10/min, deep-tendon reflexes are absent
Question 4 of 5
What action should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium toxicity, requiring immediate discontinuation of the infusion to prevent respiratory depression or cardiac arrest. Cesarean preparation, Trendelenburg positioning, and glucose assessment are not indicated for magnesium toxicity.
Extract:
A newborn who is 4 hours old
Question 5 of 5
Which condition poses the greatest risk to the newborn?
Correct Answer: D
Rationale: Congenital cardiac defects are the most common and potentially life-threatening birth defects, affecting blood flow and oxygenation. NAS, DDH, and subgaleal hemorrhage are serious but less immediately critical.