ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is receiving opioid epidural analgesia during labor
Question 1 of 5
Which of the following observations should the nurse prioritize?
Correct Answer: C
Rationale: Hypotension (80/56 mm Hg) is a critical complication of epidural analgesia, risking maternal and fetal perfusion. Itching, fever, and weakness are less urgent.
Extract:
A client with preeclampsia who is being treated with IV magnesium sulfate, respiratory rate is 10/min, deep-tendon reflexes are absent
Question 2 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 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 3 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 receiving opioid epidural analgesia during labor
Question 4 of 5
Which of the following observations should the nurse prioritize?
Correct Answer: C
Rationale: Hypotension (80/56 mm Hg) is a critical complication of epidural analgesia, risking maternal and fetal perfusion. Itching, fever, and weakness are less urgent.
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 5 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: D
Rationale: Variable decelerations are associated with umbilical cord compression, indicating a potential cord problem. Early decelerations relate to head compression, accelerations are normal, and late decelerations suggest uteroplacental insufficiency.