ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
24-year-old client undergoing breast examination
Question 1 of 5
During a breast examination on a 24-year-old client, the nurse notes the following findings. Which finding is of most concern and should be reported to the provider?
Correct Answer: D
Rationale: An irregular, nontender lump suggests a potential mass, requiring evaluation, unlike normal nodularity, tenderness, or asymmetry.
Extract:
Newborn with hyperbilirubinemia undergoing phototherapy
Question 2 of 5
A nurse is caring for a newborn with hyperbilirubinemia. Which of the following interventions should be taken during phototherapy?
Correct Answer: C
Rationale: An eye mask protects the newborn's eyes from light damage during phototherapy, unlike clothing, lotion, or continuous light during draws.
Extract:
Postpartum client with displaced fundus
Question 3 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:
Laboring client who received meperidine
Question 4 of 5
A laboring client received meperidine IV one hour prior to delivery. Which of the following medications should the nurse have available to counteract the effects of this medication on the newborn?
Correct Answer: C
Rationale: Naloxone reverses opioid-induced respiratory depression in newborns, unlike fentanyl (opioid), flumazenil (benzodiazepine), or benztropine (anticholinergic).
Extract:
Client who delivered with Rh incompatibility risk
Question 5 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: A
Rationale: Rh-negative mothers form antibodies against Rh-positive fetal blood, causing hemolysis and bilirubin buildup, unlike ABO or transfusion issues.