ATI RN
ATI Maternal Newborn Assessment Questions
Extract:
A newborn who was born vaginally with vacuum extractor assistance, with swelling over the head that crosses the suture line
Question 1 of 5
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
Correct Answer: B
Rationale: Caput succedaneum is swelling of soft tissues crossing suture lines, caused by pressure during delivery, often with vacuum extraction.
Extract:
A client who is receiving oxytocin to augment labor with recurrent variable decelerations of the FHR
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Discontinuing oxytocin is the first step to alleviate umbilical cord compression caused by excessive uterine contractions, improving fetal heart rate patterns.
Extract:
A client who is experiencing preterm labor and has a new prescription for terbutaline
Question 3 of 5
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for administration of this medication?
Correct Answer: A
Rationale: Terbutaline is contraindicated in heart disease due to its potential to cause tachycardia and cardiovascular effects.
Extract:
A client who is breastfeeding and has mastitis
Question 4 of 5
A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)
Correct Answer: A,E
Rationale: Proper hand hygiene prevents infection spread, and air-drying nipples prevents irritation. Proper latching-on techniques ensure effective milk removal, aiding mastitis management.
Extract:
A client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor
Question 5 of 5
A nurse is assessing a client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A respiratory rate of 11/min is below the normal range and could indicate magnesium sulfate toxicity, which can depress respiratory function. This finding requires prompt reporting to prevent further complications.