ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn who is small for gestational age (SGA)
Question 1 of 5
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns risk hypoglycemia due to low glycogen stores; monitoring glucose levels prevents complications, prioritizing over fluid, temperature, or weight.
Extract:
Client 3 weeks postpartum feeling down and sad
Question 2 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.
Extract:
Client 1 day postpartum taking a sitz bath
Question 3 of 5
A nurse is caring for a client who is 1 day postpartum and is taking a sitz bath. To determine the client's tolerance of the procedure, which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Monitoring pulse rate detects cardiovascular changes like hypotension from vasodilation during a sitz bath, prioritizing over bladder, breathing, or lochia.
Extract:
Circumcised newborn
Question 4 of 5
A nurse is providing discharge instructions to parents of a circumcised newborn. To prevent diaper adherence to the penis, what will be recommended to apply during diaper changes?
Correct Answer: A
Rationale: Petroleum jelly prevents diaper adherence, promoting healing, unlike towelettes (irritating), povidone-iodine (harsh), or silver sulfadiazine (for burns).
Extract:
Newborn following vacuum-assisted delivery
Question 5 of 5
A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Poor sucking may indicate neurological issues post-vacuum delivery, requiring reporting, unlike normal acrocyanosis, caput succedaneum, or transient edema.