ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client with placenta previa
Question 1 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.
Extract:
Client undergoing amniocentesis
Question 2 of 5
Prior to an amniocentesis, what action by the client will need to be completed?
Correct Answer: A
Rationale: Emptying the bladder prevents interference or puncture during amniocentesis, unlike fasting, excessive water, or stimulation.
Extract:
Postpartum client at risk for deep-vein thrombosis
Question 3 of 5
A postpartum complication a client is at risk for is deep-vein thrombosis. Which of the following is a factor strongly associated with this postpartum complication?
Correct Answer: A
Rationale: Cesarean birth increases DVT risk due to immobility and vascular trauma, unlike arthritis, hypotension, or atony, which are unrelated.
Extract:
Client at 38 weeks of gestation with continuous abdominal pain, vaginal bleeding, and cocaine use history
Question 4 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae matches symptoms of pain and bleeding, exacerbated by cocaine's vascular effects, distinguishing it from previa, preterm labor, or molar pregnancy.
Extract:
Newborn with hyperbilirubinemia undergoing phototherapy
Question 5 of 5
A nurse is caring for a newborn with hyperbilirubinemia. Which of the following interventions should be taken during phototherapy?
Correct Answer: C
Rationale: An eye mask protects the newborn's eyes from light damage during phototherapy, unlike clothing, lotion, or continuous light during draws.