ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client who is Rh-negative.
Question 1 of 5
A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Rho(
D) immune globulin administered postpartum prevents maternal sensitization to Rh-positive fetal blood cells, reducing risks of hemolytic disease in subsequent pregnancies by suppressing maternal immune response.
Extract:
Question 2 of 5
A nurse is caring for a client. Which of the following interventions should the nurse perform?
Correct Answer: B
Rationale: Massaging the fundus stimulates uterine contractions, reducing uterine atony and preventing further hemorrhage. This is a first-line intervention for postpartum excessive bleeding.
Extract:
Client gave birth 1 week ago, 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.'
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, characterized by mood swings, crying spells, and irritability, typically resolve within two weeks postpartum and are linked to hormonal changes.
Extract:
Question 4 of 5
A nurse is providing teaching to a group of clients about risk factors for ovarian cancer. Which of the following risk factors should the nurse include?
Correct Answer: A,C,E
Rationale: Nulliparity (
A) increases ovarian cancer risk by prolonging ovulation periods. Postmenopausal estrogen (
C) elevates risk by stimulating cell proliferation. History of breast cancer (E) correlates with increased risk due to shared genetic mutations like BRCA1/2.
Extract:
Client with a prescription for ibuprofen to treat postpartum cramping.
Question 5 of 5
A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication?
Correct Answer: A
Rationale: Ibuprofen can interact with various over-the-counter medications, including anticoagulants and corticosteroids, which may increase risks of side effects like gastrointestinal bleeding or reduced efficacy, necessitating careful assessment of concurrent drug use.