ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Client considered for amniotomy
Question 1 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:
Newborn 1 hour after birth
Question 2 of 5
The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?
Correct Answer: C
Rationale: Nasal flaring indicates difficulty with oxygenation, as it is a compensatory mechanism to increase airflow in respiratory distress.
Extract:
Newborn born at 37 weeks, 12 hours old, tachypnea, grunting, nasal flaring, substernal retractions, acrocyanosis
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the newborn's progress.
Correct Answer: B
Rationale: Respiratory distress syndrome is likely due to respiratory symptoms. Administer surfactant and provide oxygen therapy address lung immaturity and oxygenation. Monitor arterial blood gases and oxygen saturation to assess progress.
Extract:
Newborn reflex observation
Question 4 of 5
What reflex is elicited: Fanning of toes when stroking lateral edge of baby's foot?
Correct Answer: A
Rationale: Babinski's Reflex is elicited by fanning of the toes when the lateral edge of the foot is stroked, normal in infants up to 2 years.
Extract:
Client receiving opioid epidural analgesia during labor
Question 5 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Hypotension (80/56 mm Hg) is the priority as it can reduce placental blood flow, risking fetal distress, and requires immediate intervention.