ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 1 of 5
Which of the following orders requires clarification?
Correct Answer: D
Rationale: Ambulation twice daily is inappropriate for severe preeclampsia, as bed rest is typically recommended to manage hypertension, unlike monitoring, weight checks, or reflex assessments.
Extract:
A nurse is assessing a newborn who was born at 42.5 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Post-term newborns often have dry, cracked skin due to prolonged gestation and reduced vernix, unlike increased fat, scant hair, or copious vernix.
Extract:
A nurse is caring for a newborn delivered by vaginal birth with vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line.
Question 3 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Caput succedaneum, swelling crossing suture lines from delivery pressure, is common in vacuum-assisted births, unlike Mongolian spots, erythema toxicum, or cephalohematoma, which is confined by sutures.
Extract:
A nurse is caring for a client who is 1 hour postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the level of the umbilicus.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Moderate lochia rubra with small clots and a firm, midline fundus is normal 1 hour postpartum, requiring only documentation and continued monitoring.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 5 of 5
Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority for late decelerations, as it relieves vena cava compression, improving uteroplacental blood flow and fetal oxygenation.