ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Client in labor, external fetal monitor, late decelerations
Question 1 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow during contractions causes fetal hypoxia.
Extract:
Newborn 1 hour after birth
Question 2 of 5
The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?
Correct Answer: C
Rationale: Nasal flaring indicates difficulty with oxygenation, as it is a compensatory mechanism to increase airflow in respiratory distress.
Extract:
Newborn, 2 days old, lost 6 ounces since birth
Question 3 of 5
A mother is upset because her newborn has lost 6 ounces since birth 2 days ago. The nurse informs the mother that it is normal for a newborn to lose which percentage of their birth weight within the first week of life?
Correct Answer: D
Rationale: 5% to 10% of their birth weight is correct because this range is within the normal limits for a newborn weight loss. Newborns lose some weight due to insufficient caloric intake, fluid loss, and metabolic adjustments in the first week after birth.
Extract:
Woman received 50 mcg fentanyl intravenously 1 hour before delivery
Question 4 of 5
A woman received 50 mcg of fentanyl intravenously 1 hour before delivery. What drug should the nurse have readily available?
Correct Answer: B
Rationale: Naloxone (Narcan) reverses opioid effects like fentanyl, critical for addressing potential respiratory depression in the newborn.
Extract:
Woman in labor, vacuum extraction
Question 5 of 5
A maternal indication for the use of vacuum extraction is
Correct Answer: A
Rationale: Maternal exhaustion indicates vacuum extraction to assist delivery when the mother cannot push effectively, reducing fatigue and distress.