ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn born vaginally with vacuum extractor assistance
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 crossing suture lines from vacuum extraction, unlike cephalohematoma (confined), nevus flammeus (vascular mark), or erythema toxicum (rash).
Extract:
Client in labor with late decelerations
Question 2 of 5
A nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started. The lowest point of deceleration occurs after the peak of the contraction. What is the priority nursing action?
Correct Answer: A
Rationale: Changing position improves blood flow for late decelerations (uteroplacental insufficiency), unlike electrodes, amnioinfusion, or mislabeling as benign.
Extract:
Client receiving oxytocin with recurrent variable decelerations
Question 3 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: D
Rationale: Positioning to the left lateral relieves umbilical cord compression, the likely cause of variable decelerations, improving fetal oxygenation.
Extract:
Newborn who is 24 hr old
Question 4 of 5
A nurse is reviewing the laboratory results of a newborn who is 24 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Hemoglobin of 12 g/dL is low for a newborn (normal 14-24 g/dL), suggesting anemia, requiring reporting; other values are normal.
Extract:
Postpartum client with displaced fundus
Question 5 of 5
A postpartum client's fundus is firm, 3 cm above the umbilicus, and displaced to the right. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: A full bladder displaces the fundus; voiding corrects position, unlike massaging a firm fundus, documenting abnormality, or ambulating.