ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Woman post-spinal anesthesia, pounding headache rated 7/10
Question 1 of 5
A woman had spinal anesthesia for delivery. Now she complains of a pounding headache rated 7/10. What action by the nurse is most appropriate?
Correct Answer: B
Rationale: A pounding headache post-spinal anesthesia suggests a spinal headache from cerebrospinal fluid leakage, best treated with a blood patch to seal the dural puncture.
Extract:
Mother in labor, nonreassuring fetal heart rate pattern, lying on left side
Question 2 of 5
The nurse notes a nonreassuring pattern of the fetal heart rate. The mother is already lying on her left side. What nursing action is indicated?
Correct Answer: B
Rationale: Placing a wedge under the left hip is a common intervention to improve uteroplacental blood flow by tilting the uterus off the vena cava, enhancing venous return and cardiac output, which can positively affect fetal oxygenation.
Extract:
Client after amniotomy
Question 3 of 5
After an amniotomy, which action by the nurse takes priority?
Correct Answer: B
Rationale: Assessing the fetal heart rate is the priority after an amniotomy to ensure the fetus tolerates the procedure and detect any distress.
Extract:
Newborn 1 hour after birth
Question 4 of 5
The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?
Correct Answer: C
Rationale: Nasal flaring indicates difficulty with oxygenation, as it is a compensatory mechanism to increase airflow in respiratory distress.
Extract:
Infant with axillary temperature of 35.9C (96.6F)
Question 5 of 5
An infant's axillary temperature is 35.9C (96.6F). The priority nursing action is to:
Correct Answer: C
Rationale: The low temperature indicates hypothermia, and placing the infant in a radiant warmer is the priority to stabilize body temperature and prevent complications.