ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis isn't necessary for sex determination; ultrasound is a safer alternative. CVS is earlier, age isn't a restriction, and same-day scheduling isn't appropriate.
Extract:
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 2 of 5
Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 3 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: C
Rationale: Facial palsy can result from forceps pressure on the facial nerve, a known complication. Other options aren't directly linked to forceps delivery.
Extract:
A nurse is caring for a 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 4 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
A nurse is providing discharge instructions to a patient following tubal ligation.
Question 5 of 5
Which statement by the patient indicates an understanding of the teaching?
Correct Answer: A
Rationale: Ovulation will indeed remain the same after a tubal ligation. The procedure blocks or seals the fallopian tubes, preventing egg transport, but the ovaries continue to function normally, producing hormones and releasing eggs. Premenstrual tension persists, menstrual periods aren't affected in length, and hormone replacement isn't required.