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:
Laboring client with ruptured membranes
Question 2 of 5
A laboring client's membranes have just ruptured. What is the nurse's next action?
Correct Answer: B
Rationale: Assessing fetal heart rate post-rupture detects distress from cord prolapse or fluid changes, prioritizing over blood pressure, temperature, or surgery.
Extract:
Postpartum client at risk for deep-vein thrombosis
Question 3 of 5
A postpartum complication a client is at risk for is deep-vein thrombosis. Which of the following is a factor strongly associated with this postpartum complication?
Correct Answer: A
Rationale: Cesarean birth increases DVT risk due to immobility and vascular trauma, unlike arthritis, hypotension, or atony, which are unrelated.
Extract:
Client prescribed oral contraception
Question 4 of 5
A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education?
Correct Answer: C
Rationale: Doubling up after missing three pills risks side effects; backup contraception is needed, unlike correct reporting of symptoms or follow-ups.
Extract:
Client prescribed raloxifene
Question 5 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.