ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in labor with epidural anesthesia
Question 1 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:
Client who delivered with Rh incompatibility risk
Question 2 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:
Client using a diaphragm for contraception
Question 3 of 5
A nurse is teaching a client who is to start using a diaphragm for contraception. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Using 2 teaspoons of spermicide enhances diaphragm efficacy; it should stay in 6 hours post-intercourse, and mineral oil damages it.
Extract:
Client pregnant for the fourth time with two full-term deliveries and one spontaneous abortion
Question 4 of 5
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
Correct Answer: C
Rationale: Gravida 4 counts all pregnancies; para 2 reflects two viable births, excluding the abortion before 20 weeks.
Extract:
Client who gave birth 1 week ago feeling down and crying
Question 5 of 5
A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?
Correct Answer: C
Rationale: Postpartum blues involve transient sadness and crying, resolving within weeks, unlike prolonged depression or normal adjustment phases.