ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in active labor with late decelerations
Question 1 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR on the external fetal monitor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Position change (e.g., left lateral) improves uteroplacental blood flow, addressing late decelerations' cause—insufficient fetal oxygenation—before other interventions.
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:
Client 2 weeks postpartum with mastitis
Question 3 of 5
A nurse is planning care for a client who is 2 weeks postpartum and has mastitis. Which of the following interventions should the nurse include?
Correct Answer: A,B,E
Rationale: Hand washing, proper latching, and air-drying nipples prevent infection and promote healing; continued breastfeeding/pumping clears mastitis.
Extract:
Client who had a vaginal birth 2 hr ago and soaked two perineal pads in 30 min
Question 4 of 5
A nurse is caring for a client who had a vaginal birth 2 hr ago and has soaked two perineal pads in the past 30 min. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Assessing uterine tone identifies atony, a likely cause of excessive bleeding, guiding urgent interventions like fundal massage.
Extract:
Newborn who is 24 hr old
Question 5 of 5
A nurse is reviewing the laboratory results of a newborn who is 24 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Hemoglobin of 12 g/dL is low for a newborn (normal 14-24 g/dL), suggesting anemia, requiring reporting; other values are normal.