ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation.
Question 1 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Newborns with congenital rubella may shed the virus, necessitating isolation to prevent transmission, unlike immune suppression, encephalitis risk, or TORCH infection categorization.
Extract:
A nurse is caring for a client who is 12 hours postpartum following a vaginal delivery.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: At 12 hours postpartum, the fundus should be firm and at the umbilicus, indicating normal uterine involution, unlike soft or displaced fundus, which suggest complications.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in the lateral position is the first action to take for late decelerations, as it improves uteroplacental blood flow by relieving pressure on the inferior vena cava, addressing the likely cause of compromised fetal oxygenation.
Extract:
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation.
Question 4 of 5
Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: B
Rationale: Unilateral, cramp-like abdominal pain is a hallmark of ectopic pregnancy due to tubal implantation, unlike heavy bleeding, excessive uterine growth, or severe nausea, which are less specific.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 5 of 5
The nurse interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow causes fetal hypoxia, unlike maternal bradycardia, cord compression (variable decelerations), or head compression (early decelerations).