ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is at 40 weeks of gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg.
Question 1 of 5
Which of the following nursing interventions should the nurse perform?
Correct Answer: A
Rationale: Turning the client onto her side improves blood pressure and uteroplacental perfusion in hypotension, unlike preparing for cesarean, vaginal delivery, or upright positioning.
Extract:
A nurse is caring for a client who is 6 hours postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider.
Question 2 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The indirect Coombs test detects maternal antibodies that could cause hemolytic disease in an Rh-positive newborn, unlike newborn antibody tests, kernicterus risk, or maternal antibodies in the newborn.
Extract:
A nurse is assessing a client who received magnesium sulfate to treat preterm labor.
Question 3 of 5
Which of the following clinical findings should the nurse identify as an indication of toxicity from magnesium sulfate therapy and report to the provider?
Correct Answer: D
Rationale: Respiratory depression is a critical sign of magnesium sulfate toxicity, requiring immediate reporting and intervention, unlike nausea, drowsiness, or flushing, which are less severe.
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment.
Question 4 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: C
Rationale: Expressions of excitement are typical in the taking-in phase, where mothers process the birth experience, unlike learning skills, appetite changes, or family focus, which occur later.
Extract:
A nurse in a clinic is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum.
Question 5 of 5
Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,C,D
Rationale: Hyperemesis gravidarum is associated with migraines due to hormonal changes, twin gestations due to higher hCG levels, and can occur in nulliparous women, but not gestational hypertension or oligohydramnios, which are unrelated.