ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client receiving oxytocin with recurrent variable decelerations
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Positioning to the left lateral relieves umbilical cord compression, the likely cause of variable decelerations, improving fetal oxygenation.
Extract:
Four postpartum clients
Question 2 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a pad hourly suggests postpartum hemorrhage, requiring immediate assessment to prevent life-threatening blood loss.
Extract:
Postpartum client
Question 3 of 5
A home care nurse is following up with a postpartum client. Which of the following is a risk factor that places this client at risk for postpartum depression?
Correct Answer: A
Rationale: Rapid hormonal drops post-delivery increase postpartum depression risk, unlike protective support, self-esteem, or prior children.
Extract:
Client in preterm labor with terbutaline prescription
Question 4 of 5
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for the administration of this medication?
Correct Answer: A
Rationale: Terbutaline, a tocolytic, can exacerbate heart disease with cardiovascular side effects like tachycardia, making it contraindicated.
Extract:
Client at 29 weeks of gestation
Question 5 of 5
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?
Correct Answer: D
Rationale: Platelets of 140,000/mm³ are below normal (150,000-400,000), indicating thrombocytopenia, a bleeding risk requiring provider notification.