ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client at 10 weeks of gestation
Question 1 of 5
A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 10 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase intake during pregnancy?
Correct Answer: D
Rationale: Increased calcium supports fetal bone and teeth development, critical during pregnancy, unlike unchanged needs for vitamin E, D, or fiber.
Extract:
Client at 36 weeks of gestation with suspected intrauterine growth restriction
Question 2 of 5
A nurse is assessing a client who is at 36 weeks of gestation and has a suspected intrauterine growth restriction. Which of the following tests should the nurse expect the provider to prescribe to evaluate the condition of the fetus?
Correct Answer: C
Rationale: A nonstress test assesses fetal well-being in IUGR by monitoring heart rate response to movement, unlike unrelated tests for other conditions.
Extract:
Client in active labor with early decelerations
Question 3 of 5
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR?
Correct Answer: D
Rationale: Early decelerations result from head compression during contractions, triggering a vagal response, unlike hypoxemia, cord issues, or placental insufficiency.
Extract:
Newborn who is 48 hours old experiencing opioid withdrawals
Question 4 of 5
A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Moderate tremors reflect opioid withdrawal's neurological irritability, unlike hypotonicity, normal temperature, or excessive sleeping.
Extract:
Client 3 weeks postpartum feeling down and sad
Question 5 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: B
Rationale: Asking about harm to the newborn ensures safety, critical in suspected postpartum depression, before coping skills, medication, or teaching.