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 reflex observation
Question 2 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:
Woman received 50 mcg fentanyl intravenously 1 hour before delivery
Question 3 of 5
A woman received 50 mcg of fentanyl intravenously 1 hour before delivery. What drug should the nurse have readily available?
Correct Answer: B
Rationale: Naloxone (Narcan) reverses opioid effects like fentanyl, critical for addressing potential respiratory depression in the newborn.
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 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.