ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn diagnosed with hydrocephalus
Question 1 of 5
Which of the following symptoms should the nurse anticipate?
Correct Answer: B
Rationale: Dilated scalp veins result from increased intracranial pressure in hydrocephalus. Sloping forehead, overlapping sutures, and hypertension are not typical symptoms.
Extract:
A client who is 36 hours postpartum, breasts soft, warm, tender, no nipple discomfort, fundus boggy, 1 cm above umbilicus, deviated to right, becomes firm with massage, abdominal cramping pain rated 8/10, moderate lochia rubra, given analgesic
Question 2 of 5
Which of the following complications poses the greatest risk for the client?
Correct Answer: A
Rationale: A boggy fundus indicates uterine atony, a leading cause of postpartum hemorrhage, posing the greatest risk. Infection, thrombophlebitis, and embolism are less likely based on the findings.
Extract:
A client who is pregnant, Gravida 4 Para 3, 33 weeks of gestation, allergies: sulfa, height 165 cm, weight 82 kg, BMI 30.6, 32 kg weight gain over the last 2 weeks
Question 3 of 5
Select the assessment findings the nurse should report to the provider
Correct Answer: D
Rationale: Rapid weight gain (32 kg in 2 weeks) suggests fluid retention, a potential sign of preeclampsia, requiring immediate reporting. Other findings are routine or non-urgent.
Extract:
A newborn delivered via cesarean birth approximately 1 hr ago, Apgar Scores 8 and 9, Vitamin K administered, weight 4337 grams (9 lb 9 oz), length 52 cm (20.5 in), gestational age 39 weeks, large for gestational age, jittery, decreased muscle tone
Question 4 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, two actions, and two parameters to monitor
Correct Answer: A,B,C
Rationale: Condition: Hypoglycemia (due to LGA and symptoms). Actions: A: Check glucose levels to confirm hypoglycemia. B: Use a radiant warmer to maintain temperature. Parameters: C: Monitor temperature to ensure thermoregulation. D: Bowel movements are less relevant.
Extract:
A newborn who is 30 minutes old
Question 5 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome is the greatest risk due to potential airway obstruction and respiratory distress from meconium in the amniotic fluid. Birth weight, gestational age, and FUA (a less immediate concern) are not as critical in the first 30 minutes.