ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn who is 48 hours old experiencing opioid withdrawals
Question 1 of 5
A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Moderate tremors reflect opioid withdrawal's neurological irritability, unlike hypotonicity, normal temperature, or excessive sleeping.
Extract:
Client prescribed oral contraception
Question 2 of 5
A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education?
Correct Answer: C
Rationale: Doubling up after missing three pills risks side effects; backup contraception is needed, unlike correct reporting of symptoms or follow-ups.
Extract:
Laboring client with ruptured membranes
Question 3 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:
Newborn at 1 hr of age
Question 4 of 5
A nurse is assessing a newborn at 1 hr of age. Which of the following assessments should the nurse complete first?
Correct Answer: A
Rationale: Chest auscultation ensures respiratory stability, critical immediately after birth, before Apgar (done at 1 and 5 minutes), weight, or length.
Extract:
Newborn who is 48 hr old with maternal methadone use
Question 5 of 5
A nurse is assessing a newborn who is 48 hr 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: A high-pitched cry indicates neonatal abstinence syndrome from opioid withdrawal, unlike normal acrocyanosis, respiratory rate, or hyporeactivity.