ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn with hyperbilirubinemia undergoing phototherapy
Question 1 of 5
A nurse is caring for a newborn with hyperbilirubinemia. Which of the following interventions should be taken during phototherapy?
Correct Answer: C
Rationale: An eye mask protects the newborn's eyes from light damage during phototherapy, unlike clothing, lotion, or continuous light during draws.
Extract:
Client pregnant for the fourth time with two full-term deliveries and one spontaneous abortion
Question 2 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:
Client who gave birth 4 hr ago with excessive vaginal bleeding
Question 3 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus addresses uterine atony, the primary cause of postpartum hemorrhage, promoting contractions to control bleeding.
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 4 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:
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.