ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn
Question 1 of 5
Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?
Correct Answer: A
Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to obstruction at the pylorus. Bowel sounds are present, sodium levels are typically low, and the mass is in the right upper quadrant.
Extract:
A newborn who is postmature
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Postmature newborns have cracked, peeling skin due to prolonged amniotic fluid exposure and reduced vernix. Lanugo, short nails, and vernix are typical of preterm or term infants.
Extract:
A client who gave birth 2 hours ago, blood pressure is 60/50 mm Hg
Question 3 of 5
What should be the nurse's first action?
Correct Answer: A
Rationale: Evaluating uterine firmness assesses for uterine atony, a common cause of postpartum hemorrhage leading to hypotension. Oxytocin, blood typing, and oxygen are secondary actions after confirming the cause of low blood pressure.
Extract:
A patient who experienced a vaginal birth 3 hours ago, fundus displaced to the right, firm, two fingerbreadths above the umbilicus
Question 4 of 5
What actions should the nurse complete at this time?
Correct Answer: C
Rationale: A displaced, firm fundus suggests a full bladder; having the patient urinate corrects displacement. Catheterization, massage, and analgesics are unnecessary with a firm fundus.
Extract:
A mother and her baby in the postpartum unit, baby approximately 2 hours old
Question 5 of 5
Which of the following is NOT a symptom of transient tachypnea of the newborn?
Correct Answer: A
Rationale: A heart rate of 170 is not specific to transient tachypnea, which involves respiratory symptoms like grunting, nasal flaring, and tachypnea (respirations of 72).