ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Newborn born two hours ago at 36 weeks gestation, findings: Bruising noted over occiput, yellowish hue on sclera and skin blanching, transcutaneous bilirubin level 12.5 mg/dL, phototherapy initiated.
Question 1 of 5
A newborn born two hours ago at 36 weeks gestation has noted findings. Which findings are consistent with neonatal jaundice?
Correct Answer: B,C,D
Rationale: Yellowish sclera and blanching skin (
B), transcutaneous bilirubin level of 12.5 mg/dL (
C), and phototherapy initiation (
D) indicate neonatal jaundice from elevated bilirubin levels due to immature hepatic conjugation, requiring monitoring and treatment to prevent kernicterus.
Extract:
Client at 33 weeks of gestation with preeclampsia.
Question 2 of 5
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse expect?
Correct Answer: A
Rationale: A BUN level of 30 mg/dL is above the normal range of 10 to 20 mg/dL. Elevated BUN is consistent with renal involvement in preeclampsia, which is caused by vascular constriction and reduced renal perfusion.
Extract:
Client who is Rh-negative.
Question 3 of 5
A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Rho(
D) immune globulin administered postpartum prevents maternal sensitization to Rh-positive fetal blood cells, reducing risks of hemolytic disease in subsequent pregnancies by suppressing maternal immune response.
Extract:
Client gave birth 12 hours ago and is experiencing excessive vaginal bleeding.
Question 4 of 5
A nurse is assessing a client who gave birth 12 hours ago and is experiencing excessive vaginal bleeding. Which of the following findings indicates the client is experiencing decreased cardiac output?
Correct Answer: C
Rationale: Hypotension, defined as blood pressure below 90/60 mmHg, occurs due to reduced blood volume and cardiac output in excessive postpartum bleeding, impairing adequate perfusion to organs and tissues.
Extract:
Client receiving oxytocin to augment labor, nurse notes recurrent variable decelerations of the FHR.
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Discontinuing oxytocin reduces uterine contractions, alleviating cord compression and improving fetal oxygenation, which is the first step in managing recurrent variable decelerations of fetal heart rate.