ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Woman receiving oxytocin (Pitocin) infusion
Question 1 of 5
For which patient should the oxytocin (Pitocin) infusion be discontinued immediately?
Correct Answer: D
Rationale: Contractions every 1.5 minutes lasting 95 seconds in transition indicate hyperstimulation, risking fetal distress, so the infusion should be stopped.
Extract:
Pregnant woman educated about placental hormones
Question 2 of 5
After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?
Correct Answer: D
Rationale: Human chorionic gonadotropin (hCG) is produced by the fertilized egg and detected in pregnancy tests, indicating fertilization and implantation.
Extract:
Newborn 1 hour after birth
Question 3 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:
Client in labor, external fetal monitor, late decelerations
Question 4 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.
Extract:
Newborns in nursery
Question 5 of 5
A nurse receives handoff report. Which newborn should the nurse assess first?
Correct Answer: C
Rationale: A respiratory rate of 78 breaths/minute indicates tachypnea, suggesting potential respiratory distress, which requires immediate assessment.