ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Newborn for PKU test
Question 1 of 5
A nurse is collecting a blood phenylketonuria (PKU) test for a newborn prior to discharge. The newborn's guardian asks the nurse what a positive PKU test would mean. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: PKU involves an inability to metabolize phenylalanine, an amino acid, which can lead to brain damage if untreated.
Extract:
Client in active labor with back labor pains
Question 2 of 5
A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?
Correct Answer: C
Rationale: Sacral counterpressure directly relieves back labor pain by counteracting discomfort in the sacral area.
Extract:
Client pregnant
Question 3 of 5
A nurse is teaching a client about iron supplementation during pregnancy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Vitamin C enhances iron absorption, making it an effective practice to take with iron supplements.
Extract:
Question 4 of 5
A nurse is teaching a class to clients who are pregnant. Which of the following topics should the nurse include in the discussion about cesarean birth? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Cesarean births often involve delayed breastfeeding due to recovery, require urinary catheters to keep the bladder empty, and necessitate pain management for postoperative comfort.
Extract:
32-year-old female at 28 weeks gestation, mild contractions
Question 5 of 5
A nurse on an antepartum unit is caring for a 32-year-old female client at 28 weeks gestation. For each potential intervention, click to specify if the intervention is anticipated or contraindicated for the client.
| Potential Intervention | Anticipated | Contraindicated |
|---|---|---|
| Administration of IV fluids | ||
| Continuous monitoring of FHR | ||
| Abdominal ultrasound | ||
| Digital cervical exam to assess dilation and effacement | ||
| Laboratory testing: CBC, Blood Type & Rh, Coagulation Studies | ||
| Placement of an internal fetal spiral electrode | ||
| Administration of betamethasone |
Correct Answer: A,B,C,E,G
Rationale: IV fluids, FHR monitoring, ultrasound, lab tests, and betamethasone are anticipated; cervical exams and internal electrodes are contraindicated to avoid infection or unnecessary invasiveness.