ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client reporting severe abdominal pain in the left lower quadrant, provider suspects a ruptured ectopic pregnancy
Question 1 of 5
Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign (periumbilical bruising) indicates intraperitoneal bleeding, consistent with a ruptured ectopic pregnancy. Other signs relate to pregnancy or hypocalcemia.
Extract:
An infant who is receiving phototherapy
Question 2 of 5
Which of the following findings requires intervention by the nurse?
Correct Answer: A
Rationale: Lotion blocks phototherapy light, reducing its effectiveness, requiring intervention. Eye masks, increased stools, and rashes are expected or benign.
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption
Question 3 of 5
What is the most common risk factor for abruption?
Correct Answer: D
Rationale: Hypertension (chronic or gestational) is the most common risk factor for placental abruption, damaging uterine vessels. Trauma, smoking, and cocaine are less common causes.
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 4 of 5
Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, risking perfusion. Vomiting, tachycardia, and respiratory depression are less frequent.
Extract:
A client who gave birth 2 hours ago, blood pressure is 60/50 mm Hg
Question 5 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.