ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Postmenopausal client prescribed anastrozole for breast cancer
Question 1 of 5
A nurse is caring for a postmenopausal client prescribed the aromatase inhibitor, anastrozole, for the treatment of breast cancer. Which of the following should the nurse tell the client she may experience?
Correct Answer: B
Rationale: Anastrozole commonly causes muscle and joint pain by reducing estrogen, unlike calcium changes, heart failure, or hunger.
Extract:
Postpartum client
Question 2 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 first trimester of pregnancy
Question 3 of 5
A nurse is providing education to a client in the first trimester of pregnancy. What information should the nurse include regarding the cause of indigestion and heartburn?
Correct Answer: D
Rationale: Progesterone relaxes the cardiac sphincter, causing acid reflux, the primary cause of pregnancy heartburn, unlike pancreatic, estrogen, or uterine pressure effects.
Extract:
Client 2 hr after vaginal birth with saturated pads
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Oxytocic medication (oxytocin) stops excessive bleeding by promoting uterine contractions, addressing hemorrhage urgently, before palpation, voiding, or fluids.
Extract:
Pregnant client with last menstrual period May 4th, 2018
Question 5 of 5
A pregnant client's last menstrual period was May 4th, 2018. What is this client's estimated delivery date using Naegele's Rule?
Correct Answer: A
Rationale: Naegele's Rule adds 7 days and 9 months to May 4, 2018, yielding February 11, 2019, as the estimated delivery date.