ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in first trimester of pregnancy
Question 1 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 2 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 3 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.
Extract:
Client at 37 weeks of gestation with placenta previa
Question 4 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: Internal exams in placenta previa risk disrupting the placenta, causing severe bleeding, a greater concern than infection, labor, or membrane rupture.
Extract:
Newborn who is small for gestational age (SGA)
Question 5 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.