ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella.
Question 1 of 5
Which of the following times should the nurse understand is recommended for rubella immunization?
Correct Answer: B
Rationale: Rubella immunization is recommended post-delivery to avoid risks to the fetus from the live virus vaccine, unlike during pregnancy or conception attempts.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min.
Question 2 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Placing the client in a lateral position is the priority for hypotension post-epidural, improving venous return and uteroplacental perfusion, unlike leg elevation, notification, or monitoring.
Extract:
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking what part of the exam makes the client nervous invites dialogue, allowing the nurse to address specific concerns and promote client comfort, unlike the other options, which either provide inaccurate information or dismiss the client's anxiety.
Extract:
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate. The client's respiratory rate is 10/min, and deep-tendon reflexes are absent.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium sulfate toxicity, requiring immediate discontinuation of the infusion to prevent further complications like respiratory arrest.
Extract:
A nurse is caring for a newborn who is small for gestational age (SGA).
Question 5 of 5
Which of the following findings is associated with this condition?
Correct Answer: C
Rationale: SGA infants often have wide skull sutures due to intrauterine growth restriction affecting skull development, unlike moist skin, gray cord, or protruded abdomen, which are not specific.