ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding intercourse for 24 hours minimizes contamination of cervical cells with external materials, ensuring accurate Pap test results. It is an important preparatory guideline.
Extract:
Newborn born vaginally with vacuum extractor assistance, swelling over the newborn's head that crosses the suture line.
Question 2 of 5
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
Correct Answer: B
Rationale: Caput succedaneum involves swelling of the scalp caused by pressure during delivery, often crossing suture lines due to subcutaneous fluid accumulation, a hallmark distinguishing it from other neonatal head conditions.
Extract:
Newborn with a suspected condition.
Question 3 of 5
Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?
Correct Answer: B,C
Rationale: Oral mucosa changes (
B), such as pallor or cyanosis, may occur due to hypoxia or circulatory compromise. Respiratory changes (
C), including tachypnea or retractions, are significant manifestations of stress or pulmonary involvement in neonatal conditions like asphyxia.
Extract:
Client in labor with an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring, receiving oxytocin.
Question 4 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
Correct Answer: B
Rationale: Contraction duration of 100 seconds exceeds the normal range (usually less than 90 seconds), risking uterine hyperstimulation and fetal compromise, necessitating oxytocin discontinuation.
Extract:
Client at 8 weeks of gestation.
Question 5 of 5
A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 8 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase their intake during the first trimester of pregnancy?
Correct Answer: B
Rationale: Protein requirements increase to support fetal growth, placental development, and maternal tissue expansion. Pregnant clients need approximately 1.1 g/kg/day, compared to 0.8 g/kg/day for non-pregnant individuals.