ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Newborn with a suspected condition.
Question 1 of 5
Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?
Correct Answer: B,C
Rationale: Oral mucosa changes (
B), such as pallor or cyanosis, may occur due to hypoxia or circulatory compromise. Respiratory changes (
C), including tachypnea or retractions, are significant manifestations of stress or pulmonary involvement in neonatal conditions like asphyxia.
Extract:
Four postpartum clients: 1 day ago needs Rh(D) immune globulin, 3 days ago reports breast fullness, 12 hours ago reports increased urinary output, 8 hours ago saturating a perineal pad every hour.
Question 2 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a perineal pad every hour 8 hours postpartum indicates heavy vaginal bleeding, potentially signifying postpartum hemorrhage, a life-threatening condition requiring immediate evaluation and intervention.
Extract:
Client at 31 weeks of gestation.
Question 3 of 5
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential prenatal complication?
Correct Answer: D
Rationale: Blurred vision may result from severe preeclampsia or elevated blood pressure, signifying potential end-organ damage. It requires immediate medical evaluation to prevent progression to eclampsia.
Extract:
Client pregnant for the fourth time, delivered two full-term newborns, had one spontaneous abortion at 10 weeks of gestation.
Question 4 of 5
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
Correct Answer: C
Rationale: Gravida 4 reflects the client's total pregnancies, including the current one and her abortion, while Para 2 accounts for her two full-term live births, accurately documenting her obstetrical history.
Extract:
Client with a prescription for ibuprofen to treat postpartum cramping.
Question 5 of 5
A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication?
Correct Answer: A
Rationale: Ibuprofen can interact with various over-the-counter medications, including anticoagulants and corticosteroids, which may increase risks of side effects like gastrointestinal bleeding or reduced efficacy, necessitating careful assessment of concurrent drug use.