ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client at 37 weeks of gestation with placenta previa
Question 1 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: Internal exams in placenta previa risk disrupting the placenta, causing severe bleeding, a greater concern than infection, labor, or membrane rupture.
Extract:
Newborn with blood glucose level of 40 mg/dL
Question 2 of 5
A nurse is caring for a newborn who has a blood glucose level of 40 mg/dL. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Breastfeeding provides natural glucose to stabilize a borderline low level (40 mg/dL), avoiding invasive gavage or IV interventions unless symptomatic.
Extract:
Pregnant client who is Rh-negative
Question 3 of 5
A nurse is teaching a pregnant client who is Rh-negative about Rh(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Rh(
D) immune globulin post-birth prevents antibody formation in Rh-negative mothers with Rh-positive babies, protecting future pregnancies.
Extract:
Client receiving oxytocin with recurrent variable decelerations
Question 4 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:
Client at 14 weeks of gestation with hyperemesis gravidarum
Question 5 of 5
A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Vitamin B6 (pyridoxine) reduces nausea in hyperemesis gravidarum, safe for pregnancy, unlike digoxin (cardiac), calcium gluconate (mineral), or propranolol (beta-blocker).