ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn who is 48 hr old with maternal methadone use
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: A high-pitched cry indicates neonatal abstinence syndrome from opioid withdrawal, unlike normal acrocyanosis, respiratory rate, or hyporeactivity.
Extract:
Newborn who is 48 hours old experiencing opioid withdrawals
Question 2 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:
Newborn at 1 hr of age
Question 3 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:
Client who gave birth 1 week ago feeling down and crying
Question 4 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:
Client at 32 weeks of gestation with stress incontinence
Question 5 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation and is experiencing stress incontinence. Which of the following information should the nurse include in the teaching?
Correct Answer: B,D
Rationale: Kegel exercises strengthen pelvic muscles, and less caffeine reduces bladder irritation, improving stress incontinence; fiber, fluids, and exercise are unrelated.