ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn with blood glucose level of 40 mg/dL
Question 1 of 5
A nurse is caring for a newborn who has a blood glucose level of 40 mg/dL. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Breastfeeding provides natural glucose to stabilize a borderline low level (40 mg/dL), avoiding invasive gavage or IV interventions unless symptomatic.
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 2 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.
Extract:
Newborn who is 10 hr old
Question 3 of 5
A nurse is assessing a newborn who is 10 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Nasal flaring indicates respiratory distress, requiring immediate reporting; other findings are normal for a 10-hour-old newborn.
Extract:
Client with placenta previa
Question 4 of 5
A nurse is caring for a client who has placenta previa. Which of the following interventions should the nurse implement for this client?
Correct Answer: C,D
Rationale: Vaginal exams and internal monitoring risk bleeding in placenta previa; assessing maternal heart rate and bed rest minimize complications, and oxygen equipment ensures readiness for fetal distress.
Extract:
Client at 37 weeks of gestation with placenta previa
Question 5 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: Internal exams in placenta previa risk disrupting the placenta, causing severe bleeding, a greater concern than infection, labor, or membrane rupture.