ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client who gave birth 4 hr ago with excessive vaginal bleeding
Question 1 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus addresses uterine atony, the primary cause of postpartum hemorrhage, promoting contractions to control bleeding.
Extract:
Newborn in car seat
Question 2 of 5
A nurse is teaching the parent of a newborn about car seat safety. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Rear-facing car seats until age 2 protect the head, neck, and spine; the retainer clip belongs at armpit level, and harness straps at or below shoulders.
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 3 of 5
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Repositioning every 2-3 hours ensures even light exposure, maximizing phototherapy's bilirubin reduction, unlike less frequent temperature checks or inappropriate lotion/glucose.
Extract:
Newborn who is small for gestational age (SGA)
Question 4 of 5
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns risk hypoglycemia due to low glycogen stores; monitoring glucose levels prevents complications, prioritizing over fluid, temperature, or weight.
Extract:
Pregnant client with last menstrual period May 4th, 2018
Question 5 of 5
A pregnant client's last menstrual period was May 4th, 2018. What is this client's estimated delivery date using Naegele's Rule?
Correct Answer: A
Rationale: Naegele's Rule adds 7 days and 9 months to May 4, 2018, yielding February 11, 2019, as the estimated delivery date.