ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn who is 48 hours old with maternal methadone use
Question 1 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:
Client at 14 weeks of gestation with hyperemesis gravidarum
Question 2 of 5
A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Vitamin B6 (pyridoxine) reduces nausea in hyperemesis gravidarum, safe for pregnancy, unlike digoxin (cardiac), calcium gluconate (mineral), or propranolol (beta-blocker).
Extract:
Client who gave birth 1 week ago feeling down and crying
Question 3 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:
Laboring client with ruptured membranes
Question 4 of 5
A laboring client's membranes have just ruptured. What is the nurse's next action?
Correct Answer: B
Rationale: Assessing fetal heart rate post-rupture detects distress from cord prolapse or fluid changes, prioritizing over blood pressure, temperature, or surgery.
Extract:
Client at 34 weeks of gestation scheduled for a nonstress test
Question 5 of 5
A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test. Which of the following statements should the nurse plan to make?
Correct Answer: B
Rationale: A nonstress test, taking about 30 minutes, monitors fetal heart rate response to movement, requiring no medication, fasting, or lung maturity assessment.