ATI RN
ATI Custom Maternal Newborn Questions
Extract:
2-day-old newborn
Question 1 of 5
The nurse explains to the parents of a 2-day-old newborn that decreased life span of neonatal red blood cells has contributed to which complication?
Correct Answer: A
Rationale: The increased breakdown of neonatal red blood cells, which have a shorter lifespan, produces bilirubin, leading to hyperbilirubinemia and potential jaundice.
Extract:
Infant with axillary temperature of 35.9C (96.6F)
Question 2 of 5
An infant's axillary temperature is 35.9C (96.6F). The priority nursing action is to:
Correct Answer: C
Rationale: The low temperature indicates hypothermia, and placing the infant in a radiant warmer is the priority to stabilize body temperature and prevent complications.
Extract:
Mother in labor, nonreassuring fetal heart rate pattern, lying on left side
Question 3 of 5
The nurse notes a nonreassuring pattern of the fetal heart rate. The mother is already lying on her left side. What nursing action is indicated?
Correct Answer: B
Rationale: Placing a wedge under the left hip is a common intervention to improve uteroplacental blood flow by tilting the uterus off the vena cava, enhancing venous return and cardiac output, which can positively affect fetal oxygenation.
Extract:
Woman receiving oxytocin stimulation
Question 4 of 5
One side effect of oxytocin stimulation is hypertonic contractions. This can be detrimental to the fetus because
Correct Answer: D
Rationale: Hypertonic contractions reduce placental blood flow by limiting the time for the placenta to refill with blood between contractions, risking fetal hypoxia. Note: The document incorrectly lists 'A' as the correct answer, but the explanation supports 'D' as the correct choice based on standard medical understanding.
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.