ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking what part of the exam makes the client nervous invites dialogue, allowing the nurse to address specific concerns and promote client comfort, unlike the other options, which either provide inaccurate information or dismiss the client's anxiety.
Extract:
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA).
Question 2 of 5
Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: A
Rationale: SGA newborns are at risk for meconium aspiration syndrome, so observing for meconium in respiratory secretions is critical, unlike monitoring for hyperglycemia, hyperthermia, or anemia, which are less immediate concerns.
Extract:
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.
Question 3 of 5
Which of the following should the infant receive?
Correct Answer: B
Rationale: Newborns of hepatitis B-positive mothers should receive HBIG and hepatitis B vaccine within 12 hours to prevent infection, unlike delayed or incorrect schedules.
Extract:
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Question 4 of 5
The nurse should document what Apgar score for this infant?
Correct Answer: A
Rationale: The Apgar score is 8: appearance (1, pink body, blue extremities), pulse (2, >100/min), grimace (2, cries to suctioning), activity (2, flexed extremities), respiration (1, weak cry), indicating good health.
Extract:
A nurse is caring for a client who is considering several methods of contraception.
Question 5 of 5
Which of the following methods of contraception should the nurse identify as being the most reliable?
Correct Answer: C
Rationale: An IUD is the most reliable contraception method with over 99% effectiveness, due to its long-acting nature and minimal user error, compared to condoms (85%), diaphragms (88%), or oral contraceptives (91%).