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 at 29 weeks of gestation
Question 2 of 5
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?
Correct Answer: D
Rationale: Platelets of 140,000/mm³ are below normal (150,000-400,000), indicating thrombocytopenia, a bleeding risk requiring provider notification.
Extract:
Client who gave birth 1 week ago feeling down and crying
Question 3 of 5
A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?
Correct Answer: C
Rationale: Postpartum blues involve transient sadness and crying, resolving within weeks, unlike prolonged depression or normal adjustment phases.
Extract:
Client in active labor with early decelerations
Question 4 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:
Four postpartum clients
Question 5 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a pad hourly suggests postpartum hemorrhage, requiring immediate assessment to prevent life-threatening blood loss.