ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client with ibuprofen prescription for postpartum cramping
Question 1 of 5
A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication?
Correct Answer: A,B,D
Rationale: Asking about over-the-counter drugs, gastric issues, and hypertension prevents ibuprofen-related risks like overdose, bleeding, or fluid retention.
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 prescribed raloxifene
Question 3 of 5
A client has been prescribed raloxifene. As the nurse, you know that raloxifene is used to treat:
Correct Answer: C
Rationale: Raloxifene, a SERM, treats osteoporosis in postmenopausal women by increasing bone density, not migraines, hypertension, or heart disease.
Extract:
Client in labor with epidural anesthesia
Question 4 of 5
A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the following clinical manifestations is an adverse effect of epidural anesthesia?
Correct Answer: C
Rationale: Pruritus is a common epidural side effect due to histamine release from anesthetics, unlike polyuria, hypertension, or dry mouth.
Extract:
Newborn at 1 hr of age
Question 5 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.