ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Woman received epidural or intrathecal opioids
Question 1 of 5
The main nursing observations of the woman who receives epidural or intrathecal opioids are for all except
Correct Answer: A
Rationale: Delayed respiratory depression is not a primary concern with epidural or intrathecal opioids, which have limited systemic effects compared to systemic opioids.
Extract:
Woman receiving oxytocin (Pitocin) infusion
Question 2 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:
Woman received 50 mcg fentanyl intravenously 1 hour before delivery
Question 3 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:
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 2 hours postpartum, vaginal birth, saturated two perineal pads in 30 minutes
Question 5 of 5
A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Palpating the uterine fundus assesses for uterine atony, a common cause of postpartum hemorrhage indicated by excessive bleeding.