ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Male newborn, genitalia assessment
Question 1 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 considered for amniotomy
Question 2 of 5
The nurse understands which condition is a contraindication for an amniotomy.
Correct Answer: D
Rationale: Dilation less than 3 cm is a contraindication for amniotomy due to increased risks of infection and cord compression.
Extract:
Woman receiving oxytocin (Pitocin) infusion
Question 3 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:
Newborn, signs of diaphoresis, jitteriness, lethargy
Question 4 of 5
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: These symptoms suggest hypoglycemia, and obtaining a blood glucose level via heel stick is the priority to confirm and guide treatment.
Extract:
Client in labor, external fetal monitor, late decelerations
Question 5 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.