ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Laboring client who received meperidine
Question 1 of 3
A laboring client received meperidine IV one hour prior to delivery. Which of the following medications should the nurse have available to counteract the effects of this medication on the newborn?
Correct Answer: C
Rationale: Naloxone reverses opioid-induced respiratory depression in newborns, unlike fentanyl (opioid), flumazenil (benzodiazepine), or benztropine (anticholinergic).
Extract:
Client who delivered with Rh incompatibility risk
Question 2 of 3
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: A
Rationale: Rh-negative mothers form antibodies against Rh-positive fetal blood, causing hemolysis and bilirubin buildup, unlike ABO or transfusion issues.
Extract:
Parent of a newborn bottle feeding
Question 3 of 3
A nurse is teaching the parent of a newborn about bottle feeding. Which of the following statements by the parent indicates a need for further instruction?
Correct Answer: C
Rationale: Tipping the nipple to introduce air increases gas and discomfort, requiring correction, unlike proper elevation, burping, or normal stools.
Extract:
Postpartum client with breast engorgement
Question 4 of 3
True or False. For breast engorgement, do fresh cabbage leaves placed inside the bra can help alleviate pain associated with breast engorgement?
Correct Answer: A
Rationale: Fresh cabbage leaves' cooling and anti-inflammatory properties relieve engorgement pain, a valid complementary remedy when used correctly.