ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client at 33 weeks of gestation with preeclampsia
Question 1 of 5
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: Elevated BUN (35 mg/dL) suggests renal impairment in preeclampsia, requiring reporting, unlike normal hemoglobin, bilirubin, or hematocrit.
Extract:
Circumcised newborn
Question 2 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:
Client prescribed oral contraception
Question 3 of 5
A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education?
Correct Answer: C
Rationale: Doubling up after missing three pills risks side effects; backup contraception is needed, unlike correct reporting of symptoms or follow-ups.
Extract:
Client at 36 weeks of gestation with suspected intrauterine growth restriction
Question 4 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:
Newborn who is 48 hours old with maternal methadone use
Question 5 of 5
A nurse is assessing a newborn who is 48 hours old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
Correct Answer: B
Rationale: Excessive high-pitched crying is a hallmark of neonatal abstinence syndrome, reflecting withdrawal irritability, unlike other normal or unrelated findings.