ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Mother in labor, nonreassuring fetal heart rate pattern, lying on left side
Question 1 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:
Male newborn, genitalia assessment
Question 2 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:
Newborn, preventing heat loss
Question 3 of 5
To prevent heat loss from convection in a newborn, which action by the nurse is best?
Correct Answer: D
Rationale: Moving the infant away from a blowing fan directly prevents heat loss due to air movement, which is a key factor in convection.
Extract:
Newborn reflex observation
Question 4 of 5
Which newborn reflex elicits the following reaction: Head turns to one side - the way the head is facing, the arm/leg is stretched out while the other is bent?
Correct Answer: A
Rationale: The tonic neck reflex, also called the fencing posture, occurs when a baby's head is turned to one side, causing the arm and leg on that side to stretch out and the opposite side to bend, matching the described reaction.
Extract:
Client at 40 weeks gestation, active labor, 6 cm cervical dilation, 100% effacement, blood pressure 82/52 mm Hg
Question 5 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: A
Rationale: Assisting the client to turn onto her side can improve blood flow to the placenta and increase fetal oxygenation, addressing hypotension which is a common cause of decreased uteroplacental perfusion.