ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in labor with late decelerations
Question 1 of 5
A nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started. The lowest point of deceleration occurs after the peak of the contraction. What is the priority nursing action?
Correct Answer: A
Rationale: Changing position improves blood flow for late decelerations (uteroplacental insufficiency), unlike electrodes, amnioinfusion, or mislabeling as benign.
Extract:
Newborn with maternal gestational diabetes
Question 2 of 5
A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness signals hypoglycemia in newborns of diabetic mothers due to low glucose stores, unlike hypertonia, normal acrocyanosis, or petechiae.
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:
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:
Laboring client who received meperidine
Question 5 of 5
A laboring client received meperidine IV one hour prior to delivery. Which of the following medications should the nurse have available to counteract the effects of this medication on the newborn?
Correct Answer: C
Rationale: Naloxone reverses opioid-induced respiratory depression in newborns, unlike fentanyl (opioid), flumazenil (benzodiazepine), or benztropine (anticholinergic).