ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn who is 10 hr old
Question 1 of 5
A nurse is assessing a newborn who is 10 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Nasal flaring indicates respiratory distress, requiring immediate reporting; other findings are normal for a 10-hour-old newborn.
Extract:
24-year-old client undergoing breast examination
Question 2 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:
Newborn who is 48 hours old with maternal methadone use
Question 3 of 5
A nurse is assessing a newborn who is 48 hours old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
Correct Answer: B
Rationale: Excessive high-pitched crying is a hallmark of neonatal abstinence syndrome, reflecting withdrawal irritability, unlike other normal or unrelated findings.
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 4 of 5
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Repositioning every 2-3 hours ensures even light exposure, maximizing phototherapy's bilirubin reduction, unlike less frequent temperature checks or inappropriate lotion/glucose.
Extract:
Client who gave birth 4 hr ago with excessive vaginal bleeding
Question 5 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus addresses uterine atony, the primary cause of postpartum hemorrhage, promoting contractions to control bleeding.