ATI MATERNAL NEWBORN NEWEST EXAM AND
STUDY GUIDE 2024 ACTUAL EXAM 400 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||WELL ORGANISED
When determining the frequency of contractions, the nurse would
measure which period of time?
A. Start of one contraction to the start of the next contraction
B. Beginning of one contraction to the end of the same contraction
C. Peak of one contraction to the peak of the next contraction
D. End of one contraction to the beginning of the next contraction -
ANSWER- A. Start of one contraction to the start of the next contraction
Which fetal lie is most conducive to a spontaneous vaginal birth?
A. Transverse
B. Longitudinal
C. Perpendicular
D. Oblique - ANSWER- B. Longitudinal
Rationale: Places the fetus in a vertical position, which would be the
most conductive for a spontaneous vaginal birth
,2|Page
** cannot deliver a vaginal birth with oblique or transverse lie**
Which observation would suggest that placental separation is occurring?
A. Uterus stops contracting altogether.
B. Umbilical cord pulsations stop.
C. Uterine shape changes to globular.
D. Maternal blood pressure drops. - ANSWER- C. Uterine shape
changes to globular
Rationale: After the placenta separates from the uterine wall, the
uterine shape changes from discoid to globular
As the nurse is explaining the difference between true versus false labor
to her childbirth class, she states that the major difference between them
is
A. discomfort level is greater with false labor.
B. progressive cervical changes occur in true labor.
C. there is a feeling of nausea with false labor.
D. there is more fetal movement with true labor. - ANSWER- B.
progressive cervical changes occur in true labor.
The most intense time during labor is during the
,3|Page
A. latent phase.
B. active phase.
C. membranes breaking.
D. placental expulsion phase. - ANSWER- C. membranes breaking.
(Transition phase)
Which assessment would indicate that a woman is in true labor?
A. Membranes are ruptured and fluid is clear.
B. Presenting part is engaged and not floating.
C. Cervix is 4 cm dilated, 90% effaced.
D. Contractions last 30 seconds every 5 to 10 minutes. - ANSWER- C.
Cervix is 4 cm dilated, 90% effaced.
Which interventions are underutilized in promoting a normal birth?
Select all that apply.
A. Oral nutrition and fluids in labor
B. Open-glottis pushing in the second stage of labor
C. Skin-to-skin contact after birth for infant bonding
D. Routine artificial rupture of membranes (amniotomy)
E. Labor induction with intravenous Pitocin
, 4|Page
F. Routine episiotomy to shorten labor length - ANSWER- A. Oral
nutrition and fluids in labor
B. Open-glottis pushing in the second stage of labor
C. Skin-to-skin contact after birth for infant bonding
Physiologic preparation for labor would be demonstrated by
A. a decrease in Braxton Hicks contractions felt by mother.
B. weight gain and an increase in appetite by mother.
C. lightening, when the fetus drops into true pelvis.
D. fetal heart rate accelerations and increased movements. - ANSWER-
C. lightening, when the fetus drops into true pelvis.
A laboring woman is admitted to the labor and birth suite at 4-cm
dilation. She would be in which phase of labor?
A. Latent
B. Active
C. Late
D. Early - ANSWER- B. Active
When assessing a patient in true labor which of the following is most
likely to be seen? - ANSWER- Bloody Show