ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who has myelomeningocele
Question 1 of 5
Which of the following nursing goals has the priority in the care of this infant?
Correct Answer: C
Rationale: Maintaining the integrity of the myelomeningocele sac prevents infection and further neural damage, making it the priority. Stimulation, education, and bonding are important but secondary.
Extract:
A patient who has recently given birth, history of receiving a transfusion with Rh-negative blood, nurse expects hyperbilirubinemia due to Rh incompatibility
Question 2 of 5
What is the reason for hyperbilirubinemia occurring with Rh incompatibility?
Correct Answer: C
Rationale: The correct answer is not listed, but hyperbilirubinemia occurs because maternal anti-Rh antibodies cross the placenta, causing hemolysis of fetal Rh-positive red blood cells, increasing bilirubin. The listed options are incorrect.
Extract:
A client reporting severe abdominal pain in the left lower quadrant, provider suspects a ruptured ectopic pregnancy
Question 3 of 5
Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign (periumbilical bruising) indicates intraperitoneal bleeding, consistent with a ruptured ectopic pregnancy. Other signs relate to pregnancy or hypocalcemia.
Extract:
A newborn delivered via emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar score 5 at 1 min, positive pressure ventilation given for 1 min followed by free flow oxygen
Question 4 of 5
What finding should the nurse report to the provider?
Correct Answer: D
Rationale: Respiratory assessment is critical due to the low Apgar score and ventilation needs, indicating potential distress. Hemoglobin, hematocrit, glucose, and temperature are less immediate concerns.
Extract:
A client who is at 36 weeks of gestation and who has a suspected placenta previa
Question 5 of 5
Which of the following findings support this diagnosis?
Correct Answer: B
Rationale: Painless red vaginal bleeding is a hallmark of placenta previa, caused by the placenta covering the cervix. Painful bleeding or mucus suggests other conditions like labor or abruption.