ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Pregnant client who is Rh-negative
Question 1 of 5
A nurse is teaching a pregnant client who is Rh-negative about Rh(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Rh(
D) immune globulin post-birth prevents antibody formation in Rh-negative mothers with Rh-positive babies, protecting future pregnancies.
Extract:
Client at 33 weeks of gestation with preeclampsia
Question 2 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:
Client at 38 weeks of gestation with continuous abdominal pain, vaginal bleeding, and cocaine use history
Question 3 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: Cocaine-related vasoconstriction and pain with bleeding suggest abruptio placentae, unlike painless previa, preterm labor at term, or molar pregnancy's distinct features.
Extract:
Pregnant client with last menstrual period May 4th, 2018
Question 4 of 5
A pregnant client's last menstrual period was May 4th, 2018. What is this client's estimated delivery date using Naegele's Rule?
Correct Answer: A
Rationale: Naegele's Rule adds 7 days and 9 months to May 4, 2018, yielding February 11, 2019, as the estimated delivery date.
Extract:
Newborn who is 10 hr old
Question 5 of 5
A nurse is assessing a newborn who is 10 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Nasal flaring indicates respiratory distress, requiring immediate reporting; other findings are normal for a 10-hour-old newborn.