ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Woman received 50 mcg fentanyl intravenously 1 hour before delivery
Question 1 of 5
A woman received 50 mcg of fentanyl intravenously 1 hour before delivery. What drug should the nurse have readily available?
Correct Answer: B
Rationale: Naloxone (Narcan) reverses opioid effects like fentanyl, critical for addressing potential respiratory depression in the newborn.
Extract:
Client after amniotomy
Question 2 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:
Client in latent phase of labor for 12 hours, requesting medication to rest
Question 3 of 5
A client in latent phase of labor for the past 12 hours is requesting medication to help her rest.
Correct Answer: A
Rationale: Fentanyl is a fast-acting opioid suitable for pain relief and sedation in labor, with less risk of prolonged effects compared to other options.
Extract:
Male newborn, genitalia assessment
Question 4 of 5
The nurse is inspecting a male newborn's genitalia. Which action should the nurse avoid when conducting this assessment?
Correct Answer: B
Rationale: Retracting the foreskin over the glans should be avoided as it can cause pain, bleeding, and infection in the newborn. The foreskin is usually adhered to the glans and should not be forcibly retracted.
Extract:
Client in labor, external fetal monitor, late decelerations
Question 5 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow during contractions causes fetal hypoxia.