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 with maternal methadone use
Question 2 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 35 weeks of gestation with 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
Rationale: Continuous FHR monitoring detects fetal distress in placenta previa, avoiding cervical checks or misoprostol, which risk bleeding, and betamethasone is less urgent at 35 weeks.
Extract:
Client at 33 weeks of gestation with preeclampsia
Question 4 of 5
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: Elevated BUN (35 mg/dL) suggests renal impairment in preeclampsia, requiring reporting, unlike normal hemoglobin, bilirubin, or hematocrit.
Extract:
Newborn who is 48 hours old experiencing opioid withdrawals
Question 5 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.