Maternal Newborn ATI Assessment Focused Review

Extract:

Circumcised newborn

Question 1 of 5

A nurse is providing discharge instructions to parents of a circumcised newborn. To prevent diaper adherence to the penis, what will be recommended to apply during diaper changes?

A. Petroleum jelly.B. Pre-moistened towelettes.C. Povidone-iodine.D. Silver sulfadiazine.

Correct Answer: A

Rationale: Petroleum jelly prevents diaper adherence, promoting healing, unlike towelettes (irritating), povidone-iodine (harsh), or silver sulfadiazine (for burns).

Extract:

Client prescribed oral contraception

Question 2 of 5

A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education?

A. I will notify my provider if I experience chest pain, shortness of breath, or leg pain.B. I will use an alternative form of birth control if I miss three pills.C. If I miss three pills, I will double up each day until back on schedule.D. I will have to have follow-up appointments with my provider while taking this medication.

Correct Answer: C

Rationale: Doubling up after missing three pills risks side effects; backup contraception is needed, unlike correct reporting of symptoms or follow-ups.

Extract:

Client receiving oxytocin with intrauterine pressure catheter and fetal scalp electrode

Question 3 of 5

A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?

A. Contraction frequency every 3 minutes.B. Contraction duration of 100 seconds.C. Fetal heart rate with moderate variability.D. Fetal heart rate of 118/min.

Correct Answer: B

Rationale: Contraction duration of 100 seconds indicates hyperstimulation, risking fetal distress, requiring oxytocin discontinuation, unlike normal frequency, variability, or heart rate.

Extract:

Client with uncomplicated gestational hypertension

Question 4 of 5

The nurse is caring for a client with uncomplicated gestational hypertension. Which are expected findings of the disorder?

A. Edema.B. BP 155/92.C. Proteinuria.D. Hepatic dysfunction.E. BP returns to normal after pregnancy.

Correct Answer: B,E

Rationale: BP >=140/90 and normalization post-pregnancy define uncomplicated gestational hypertension; proteinuria or hepatic issues suggest preeclampsia.

Extract:

Client using an intrauterine device (IUD) for contraception

Question 5 of 5

A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the following client statements indicates an understanding of the teaching?

A. I will need to have the IUD replaced each year.B. I will need to apply a spermicide prior to intercourse.C. I should expect my periods to stop while I have the IUD.D. I should check for the string each month after menstruation.

Correct Answer: D

Rationale: Checking the IUD string monthly ensures proper placement; IUDs last 3-10 years, don't require spermicide, and periods may lighten but not always stop.

Maternal Newborn ATI Assessment Focused Review | Nurselytic

Nurselytic

ATI RN

ATI RN