ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Client with a new prescription for a combined oral contraceptive (COC).
Question 1 of 5
A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?
Correct Answer: A
Rationale: Anticonvulsants induce liver enzymes, reducing COC effectiveness by increasing metabolism.
Extract:
Postpartum client.
Question 2 of 5
A nurse is caring for a client who is postpartum. When should the nurse instruct the client that the breast milk will 'come in'?
Correct Answer: A
Rationale: Breast milk typically comes in 3-5 days postpartum due to hormonal shifts.
Extract:
4-hour-old newborn who breastfed well initially but has not fed again.
Question 3 of 5
A newborn is reported to have breastfed very well during the first successful feeding after birth. The baby is now 4 hours old and has not had a second feeding. The nurse would:
Correct Answer: D
Rationale: Teaching about newborn sleep and hunger patterns addresses normal irregular feeding schedules.
Extract:
Small for gestational age (SGA) newborn.
Question 4 of 5
When planning the care for a small for gestational age (SGA) newborn, which assessment should the nurse prioritize?
Correct Answer: B
Rationale: SGA newborns are at high risk for hypoglycemia due to low glycogen stores, requiring priority assessment.
Extract:
2-day-old septic preterm infant weighing 4300 grams.
Question 5 of 5
A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.
Correct Answer: B
Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg = 8.6 mg; 8.6 mg ÷ 20 mg/ml = 0.43 ml.