ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client who gave birth 1 week ago feeling down and crying
Question 1 of 5
A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?
Correct Answer: C
Rationale: Postpartum blues involve transient sadness and crying, resolving within weeks, unlike prolonged depression or normal adjustment phases.
Extract:
Newborn with blood glucose level of 40 mg/dL
Question 2 of 5
A nurse is caring for a newborn who has a blood glucose level of 40 mg/dL. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Breastfeeding provides natural glucose to stabilize a borderline low level (40 mg/dL), avoiding invasive gavage or IV interventions unless symptomatic.
Extract:
Client in active labor with late decelerations
Question 3 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR on the external fetal monitor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Position change (e.g., left lateral) improves uteroplacental blood flow, addressing late decelerations' cause—insufficient fetal oxygenation—before other interventions.
Extract:
Client using an intrauterine device (IUD) for contraception
Question 4 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?
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.
Extract:
Four postpartum clients
Question 5 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.