ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Laboring client who received meperidine
Question 1 of 5
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:
Postpartum client with breast engorgement
Question 2 of 5
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.
Extract:
Four postpartum clients
Question 3 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 pad hourly suggests postpartum hemorrhage, requiring immediate assessment to prevent life-threatening blood loss.
Extract:
24-year-old client undergoing breast examination
Question 4 of 5
During a breast examination on a 24-year-old client, the nurse notes the following findings. Which finding is of most concern and should be reported to the provider?
Correct Answer: D
Rationale: An irregular, nontender lump suggests a potential mass, requiring evaluation, unlike normal nodularity, tenderness, or asymmetry.
Extract:
Client 2 weeks postpartum with mastitis
Question 5 of 5
A nurse is planning care for a client who is 2 weeks postpartum and has mastitis. Which of the following interventions should the nurse include?
Correct Answer: A,B,E
Rationale: Hand washing, proper latching, and air-drying nipples prevent infection and promote healing; continued breastfeeding/pumping clears mastitis.