ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client receiving oxytocin with intrauterine pressure catheter and fetal scalp electrode
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
Correct Answer: B
Rationale: Contraction duration of 100 seconds indicates hyperstimulation, risking fetal distress, requiring oxytocin discontinuation, unlike normal frequency, variability, or heart rate.
Extract:
Parent of a newborn bottle feeding
Question 2 of 5
A nurse is teaching the parent of a newborn about bottle feeding. Which of the following statements by the parent indicates a need for further instruction?
Correct Answer: C
Rationale: Tipping the nipple to introduce air increases gas and discomfort, requiring correction, unlike proper elevation, burping, or normal stools.
Extract:
Client prescribed raloxifene
Question 3 of 5
A client has been prescribed raloxifene. As the nurse, you know that raloxifene is used to treat:
Correct Answer: C
Rationale: Raloxifene, a SERM, treats osteoporosis in postmenopausal women by increasing bone density, not migraines, hypertension, or heart disease.
Extract:
Newborn who is 48 hours old experiencing opioid withdrawals
Question 4 of 5
A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Moderate tremors reflect opioid withdrawal's neurological irritability, unlike hypotonicity, normal temperature, or excessive sleeping.
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 5 of 5
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Repositioning every 2-3 hours ensures even light exposure, maximizing phototherapy's bilirubin reduction, unlike less frequent temperature checks or inappropriate lotion/glucose.