ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 1 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 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 receiving oxytocin with recurrent variable decelerations
Question 3 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Positioning to the left lateral relieves umbilical cord compression, the likely cause of variable decelerations, improving fetal oxygenation.
Extract:
Client at 35 weeks of gestation with mild vaginal bleeding due to placenta previa
Question 4 of 5
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Continuous FHR monitoring detects fetal distress in placenta previa, avoiding cervical checks or misoprostol, which risk bleeding, and betamethasone is less urgent at 35 weeks.
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.