ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client, Gravida 4 Para 3, 32 weeks of gestation, BMI of 32, history of two newborns weighing over 4.5 kg, family history of type one diabetes mellitus (maternal), fetal heart tones 140/min via doppler
Question 1 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,B,D
Rationale: A: Non-stress tests monitor fetal well-being in high-risk pregnancies. B: Limiting carbohydrates to 40% helps control glucose levels. D: Metformin may be prescribed for gestational diabetes risk. C: Random glucose checks are less effective than targeted monitoring.
Extract:
A newborn who has spinal bifida
Question 2 of 5
Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The prone position minimizes pressure on the spina bifida lesion, reducing trauma and infection risk. Rectal temperatures, dry dressings, and snug diapers increase infection or damage risk.
Extract:
A client who is breastfeeding about managing breast engorgement
Question 3 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: Frequent feedings every 2 hours prevent milk buildup, reducing engorgement. Cold compresses, herbal tea, and single-breast drainage are less effective or inappropriate.
Extract:
A client who is 36 hours postpartum, breasts soft, warm, tender, no nipple discomfort, fundus boggy, 1 cm above umbilicus, deviated to right, becomes firm with massage, abdominal cramping pain rated 8/10, moderate lochia rubra, given analgesic
Question 4 of 5
Which of the following complications poses the greatest risk for the client?
Correct Answer: A
Rationale: A boggy fundus indicates uterine atony, a leading cause of postpartum hemorrhage, posing the greatest risk. Infection, thrombophlebitis, and embolism are less likely based on the findings.
Extract:
A patient who experienced a vaginal birth 3 hours ago, fundus displaced to the right, firm, two fingerbreadths above the umbilicus
Question 5 of 5
What actions should the nurse complete at this time?
Correct Answer: C
Rationale: A displaced, firm fundus suggests a full bladder; having the patient urinate corrects displacement. Catheterization, massage, and analgesics are unnecessary with a firm fundus.