ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client with uncomplicated gestational hypertension
Question 1 of 5
The nurse is caring for a client with uncomplicated gestational hypertension. Which are expected findings of the disorder?
Correct Answer: B,E
Rationale: BP >=140/90 and normalization post-pregnancy define uncomplicated gestational hypertension; proteinuria or hepatic issues suggest preeclampsia.
Extract:
Client in labor with late decelerations
Question 2 of 5
A nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started. The lowest point of deceleration occurs after the peak of the contraction. What is the priority nursing action?
Correct Answer: A
Rationale: Changing position improves blood flow for late decelerations (uteroplacental insufficiency), unlike electrodes, amnioinfusion, or mislabeling as benign.
Extract:
Client at 37 weeks of gestation with placenta previa
Question 3 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: Internal exams in placenta previa risk disrupting the placenta, causing severe bleeding, a greater concern than infection, labor, or membrane rupture.
Extract:
Client in labor with group B streptococcus B-hemolytic infection
Question 4 of 5
A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus B-hemolytic infection. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Ampicillin prevents GBS transmission to the newborn, unlike azithromycin, ceftriaxone, or acyclovir, which target different pathogens.
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 5 of 5
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Repositioning every 2-3 hours ensures even light exposure, maximizing phototherapy's bilirubin reduction, unlike less frequent temperature checks or inappropriate lotion/glucose.