ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client who delivered with Rh incompatibility risk
Question 1 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: A
Rationale: Rh-negative mothers form antibodies against Rh-positive fetal blood, causing hemolysis and bilirubin buildup, unlike ABO or transfusion issues.
Extract:
Parent of a newborn bottle feeding
Question 2 of 5
A nurse is teaching the parent of a newborn about bottle feeding. Which of the following statements by the parent indicates a need for further instruction?
Correct Answer: C
Rationale: Tipping the nipple to introduce air increases gas and discomfort, requiring correction, unlike proper elevation, burping, or normal stools.
Extract:
Postpartum client with breast engorgement
Question 3 of 5
True or False. For breast engorgement, do fresh cabbage leaves placed inside the bra can help alleviate pain associated with breast engorgement?
Correct Answer: A
Rationale: Fresh cabbage leaves' cooling and anti-inflammatory properties relieve engorgement pain, a valid complementary remedy when used correctly.
Extract:
Client taking tamoxifen
Question 4 of 5
A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The nurse should identify that tamoxifen is used to treat which of the following conditions?
Correct Answer: C
Rationale: Tamoxifen is a selective estrogen receptor modulator primarily used to treat estrogen receptor-positive breast cancer by blocking estrogen's effects, inhibiting cancer cell growth.
Extract:
Client with placenta previa
Question 5 of 5
A nurse is caring for a client who has placenta previa. Which of the following interventions should the nurse implement for this client?
Correct Answer: C,D
Rationale: Vaginal exams and internal monitoring risk bleeding in placenta previa; assessing maternal heart rate and bed rest minimize complications, and oxygen equipment ensures readiness for fetal distress.