ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Question 1 of 5
Following this type of birth, the nurse should monitor the client for hemorrhage and monitor the newborn for facial nerve palsy. What additional care should the nurse consider?
Correct Answer: B
Rationale: Jaundice assessment is critical for newborns with facial bruising or cephalohematoma, as bilirubin levels may rise due to blood breakdown in the localized hematoma.
Extract:
Client at 29 weeks of gestation with phenylketonuria.
Question 2 of 5
A nurse is providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include?
Correct Answer: B
Rationale: Apples are low in phenylalanine, making them a safe option for individuals with phenylketonuria. They provide essential nutrients without contributing to phenylalanine accumulation.
Extract:
Client in active labor with early decelerations of the FHR on the fetal monitor tracing.
Question 3 of 5
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR?
Correct Answer: D
Rationale: Early decelerations result from fetal head compression, stimulating the vagus nerve and leading to transient heart rate decreases. This is common during contractions.
Extract:
Newborn who is 48 hr old and is experiencing opioid withdrawals.
Question 4 of 5
A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Moderate tremors result from central nervous system irritability during withdrawal. Elevated norepinephrine levels lead to excessive stimulation, causing tremors and jitteriness.
Extract:
Client who is breastfeeding and has mastitis.
Question 5 of 5
A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include?
Correct Answer: A,B,D
Rationale: Handwashing (
A) minimizes pathogen transmission. Proper latching techniques (
B) reduce nipple trauma and facilitate milk drainage. Allowing nipples to air dry (
D) promotes healing and reduces infection risk.