ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is receiving magnesium sulfate to manage preeclampsia
Question 1 of 5
Which of the following observations should the nurse immediately report to the healthcare provider?
Correct Answer: C
Rationale: Low urinary output (40 ml in 2 hours) suggests oliguria, a sign of magnesium toxicity or renal impairment, requiring immediate reporting. Normal respiratory rate, headache, and fetal heart rate are less urgent.
Extract:
A newborn who has just delivered, secretions bubbling out of the nose and mouth
Question 2 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.
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 who is 3 weeks postpartum following the birth of a healthy newborn, reports feeling down and sad, having no energy, and wanting to cry
Question 4 of 5
What should be the nurse's priority action?
Correct Answer: A
Rationale: Asking about thoughts of harming the newborn assesses for postpartum depression with potential risk to the infant, prioritizing safety. Teaching, coping skills, and anticipating medication are secondary to ensuring immediate safety.
Extract:
A newborn who is 30 minutes old
Question 5 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome poses the greatest immediate risk due to potential respiratory distress from inhaling meconium-stained amniotic fluid. Meconium ileus, cold stress, and hypoglycemia are less immediately life-threatening, and jaundice due to amniotic fluid color is not a recognized condition.