ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client at 35 weeks of gestation experiencing mild vaginal bleeding due to placenta previa.
Question 1 of 5
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?
Correct Answer: A,B
Rationale: Continuous monitoring of fetal heart rate (
A) provides early detection of distress in placenta previa cases. Betamethasone (
B) accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome if preterm delivery occurs.
Extract:
Client at 8 weeks of gestation.
Question 2 of 5
A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 8 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase their intake during the first trimester of pregnancy?
Correct Answer: B
Rationale: Protein requirements increase to support fetal growth, placental development, and maternal tissue expansion. Pregnant clients need approximately 1.1 g/kg/day, compared to 0.8 g/kg/day for non-pregnant individuals.
Extract:
Question 3 of 5
Following this type of birth, the nurse should monitor the client for hemorrhage and monitor the newborn for facial nerve palsy. What additional care should the nurse consider?
Correct Answer: B
Rationale: Jaundice assessment is critical for newborns with facial bruising or cephalohematoma, as bilirubin levels may rise due to blood breakdown in the localized hematoma.
Extract:
Client reports feeling well, findings include: General: No acute distress. Cardiovascular: No murmur or rub. Respiratory: Bilateral breath sounds clear. Abdomen: Fundal height 38 cm. Genitourinary: Purulent cervical discharge.
Question 4 of 5
A nurse conducts a physical exam of a client who reports feeling well. Which finding requires clinical intervention?
Correct Answer: E
Rationale: Purulent cervical discharge suggests an ongoing infection, likely bacterial cervicitis. It reflects leukocyte accumulation due to pathogenic invasion, requiring clinical intervention to prevent complications.
Extract:
Newborn born vaginally with vacuum extractor assistance, swelling over the newborn's head that crosses the suture line.
Question 5 of 5
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
Correct Answer: B
Rationale: Caput succedaneum involves swelling of the scalp caused by pressure during delivery, often crossing suture lines due to subcutaneous fluid accumulation, a hallmark distinguishing it from other neonatal head conditions.