ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Postpartum client with displaced fundus
Question 1 of 5
A postpartum client's fundus is firm, 3 cm above the umbilicus, and displaced to the right. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: A full bladder displaces the fundus; voiding corrects position, unlike massaging a firm fundus, documenting abnormality, or ambulating.
Extract:
Client in labor with epidural anesthesia
Question 2 of 5
A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the following clinical manifestations is an adverse effect of epidural anesthesia?
Correct Answer: C
Rationale: Pruritus is a common epidural side effect due to histamine release from anesthetics, unlike polyuria, hypertension, or dry mouth.
Extract:
Client 2 hr after vaginal birth with saturated pads
Question 3 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Oxytocic medication (oxytocin) stops excessive bleeding by promoting uterine contractions, addressing hemorrhage urgently, before palpation, voiding, or fluids.
Extract:
Client at risk for ovarian cancer
Question 4 of 5
A nurse is providing teaching to a group of women about risk factors for ovarian cancer. Which of the following risk factors should the nurse include?
Correct Answer: A,D,E
Rationale: Nulliparity, breast cancer history, and hormone replacement therapy increase ovarian cancer risk due to ovulatory and hormonal factors.
Extract:
Newborn who is 48 hr old with maternal methadone use
Question 5 of 5
A nurse is assessing a newborn who is 48 hr old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
Correct Answer: B
Rationale: A high-pitched cry indicates neonatal abstinence syndrome from opioid withdrawal, unlike normal acrocyanosis, respiratory rate, or hyporeactivity.