ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Newborn who is 48 hr old with a maternal history of methadone use during pregnancy.
Question 1 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: Excessive high-pitched crying results from central nervous system hyperirritability caused by withdrawal. Neonatal abstinence syndrome involves exaggerated responses to stimuli, reflecting the neonate's difficulty in self-regulation.
Extract:
Client in labor with a diagnosis of group B streptococcus B-hemolytic infection.
Question 2 of 5
A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus B-hemolytic infection. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Ampicillin is a first-line antibiotic effective against group B streptococcus B-hemolytic bacteria, preventing neonatal infection during labor. It targets the bacterial cell wall synthesis and is safe in pregnancy.
Extract:
Client at 35 weeks of gestation experiencing mild vaginal bleeding due to placenta previa.
Question 3 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:
Question 4 of 5
Drag words from the choices below to fill in each blank in the following sentence: The nurse should [option] as a potential complication.
Correct Answer: B
Rationale: Fallopian tube rupture is a critical complication of conditions like ectopic pregnancy, emphasizing the importance of timely diagnosis and intervention to prevent life-threatening internal bleeding and sepsis.
Extract:
Client with a prescription for ibuprofen to treat postpartum cramping.
Question 5 of 5
A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication?
Correct Answer: A
Rationale: Ibuprofen can interact with various over-the-counter medications, including anticoagulants and corticosteroids, which may increase risks of side effects like gastrointestinal bleeding or reduced efficacy, necessitating careful assessment of concurrent drug use.