ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Newborn who is 24 hr old
Question 1 of 5
A nurse is reviewing the laboratory results of a newborn who is 24 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Hemoglobin of 12 g/dL is low for a newborn (normal 14-24 g/dL), suggesting anemia, requiring reporting; other values are normal.
Extract:
Client in active labor with early decelerations
Question 2 of 5
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR?
Correct Answer: D
Rationale: Early decelerations result from head compression during contractions, triggering a vagal response, unlike hypoxemia, cord issues, or placental insufficiency.
Extract:
Client in labor with late decelerations
Question 3 of 5
A nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started. The lowest point of deceleration occurs after the peak of the contraction. What is the priority nursing action?
Correct Answer: A
Rationale: Changing position improves blood flow for late decelerations (uteroplacental insufficiency), unlike electrodes, amnioinfusion, or mislabeling as benign.
Extract:
Client who gave birth 12 hr ago with excessive vaginal bleeding
Question 4 of 5
A nurse is assessing a client who gave birth 12 hr ago and is experiencing excessive vaginal bleeding. Which of the following findings indicates the client is experiencing decreased cardiac output?
Correct Answer: C
Rationale: Hypotension from blood loss indicates reduced cardiac output, unlike bradycardia, flushed face, or polyuria, which are unrelated or compensatory.
Extract:
Client with urinary incontinence
Question 5 of 5
A nurse is caring for a client who is experiencing urinary incontinence. Which of the following recommendations should the nurse include in the teaching plan for this client?
Correct Answer: D
Rationale: Reducing caffeine and carbonated drinks minimizes bladder irritation, improving incontinence, unlike restricting fluids, fiber, or avoiding Kegels.