ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in the transition phase of labor
Question 1 of 5
A nurse is caring for a client who is in the transition phase of labor. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pant-blow breathing helps manage intense pain and anxiety during the transition phase, unlike less frequent voiding, monitoring, or lithotomy positioning.
Extract:
Client 3 weeks postpartum feeling down and sad
Question 2 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: B
Rationale: Asking about harm to the newborn ensures safety, critical in suspected postpartum depression, before coping skills, medication, or teaching.
Extract:
Client at 32 weeks of gestation with stress incontinence
Question 3 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation and is experiencing stress incontinence. Which of the following information should the nurse include in the teaching?
Correct Answer: B,D
Rationale: Kegel exercises strengthen pelvic muscles, and less caffeine reduces bladder irritation, improving stress incontinence; fiber, fluids, and exercise are unrelated.
Extract:
Newborn born vaginally with vacuum extractor assistance
Question 4 of 5
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
Correct Answer: B
Rationale: Caput succedaneum is swelling crossing suture lines from vacuum extraction, unlike cephalohematoma (confined), nevus flammeus (vascular mark), or erythema toxicum (rash).
Extract:
Client using an intrauterine device (IUD) for contraception
Question 5 of 5
A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Checking the IUD string monthly ensures proper placement; IUDs last 3-10 years, don't require spermicide, and periods may lighten but not always stop.