ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who is a primigravida, at term, and having contractions but is unsure if she is in labor
Question 1 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: Changes in the cervix (effacement and dilation) are the definitive signs of true labor, distinguishing it from false labor. Contraction patterns, membrane rupture, and station changes are not specific to true labor.
Extract:
A newborn who is 30 minutes old
Question 2 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome poses the greatest immediate risk due to potential respiratory distress from inhaling meconium-stained amniotic fluid. Meconium ileus, cold stress, and hypoglycemia are less immediately life-threatening, and jaundice due to amniotic fluid color is not a recognized condition.
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 3 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: D
Rationale: Variable decelerations are associated with umbilical cord compression, indicating a potential cord problem. Early decelerations relate to head compression, accelerations are normal, and late decelerations suggest uteroplacental insufficiency.
Extract:
A client who is in active labor and notes late decelerations in the FHR
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Changing the client's position (e.g., to the side) is the first action to improve uteroplacental blood flow and fetal oxygenation, addressing late decelerations caused by reduced placental perfusion. Oxygen, scalp electrode, and IV rate adjustments are secondary actions.
Extract:
A client who is 3 weeks postpartum following the birth of a healthy newborn, reports feeling down and sad, having no energy, and wanting to cry
Question 5 of 5
What should be the nurse's priority action?
Correct Answer: A
Rationale: Asking about thoughts of harming the newborn assesses for postpartum depression with potential risk to the infant, prioritizing safety. Teaching, coping skills, and anticipating medication are secondary to ensuring immediate safety.