ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 1 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical changes (effacement and dilation) are the most reliable sign of true labor, unlike contraction patterns, station, or membrane rupture, which are less definitive.
Extract:
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 minute and a frequency of 3 minutes. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.
Question 2 of 5
Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Positioning with one hip elevated addresses low blood pressure (92/54 mm Hg), improving perfusion, unlike notification, voiding, or pain medication, which are secondary.
Extract:
A nurse is assessing a newborn following a vacuum-assisted delivery.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Poor sucking suggests potential neurological issues post-vacuum delivery, requiring reporting, unlike expected scalp edema, acrocyanosis, or facial edema.
Extract:
A nurse is caring for an adolescent client who is gravida 1, para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.
Question 4 of 5
Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: D
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically shows hyperreflexia (>+2), unlike elevated BP, proteinuria, or edema.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has a suspected placenta previa.
Question 5 of 5
Which of the following findings support this diagnosis?
Correct Answer: C
Rationale: Painless red vaginal bleeding is characteristic of placenta previa, where the placenta covers the cervical os, unlike painful bleeding or mucus, which suggest other conditions.