ATI Maternal Newborn Notes from ATI Quizzes for the
Proctored Final
1. Nitric oxide can improve oxygenation and is prescribed for newborns
who have respiratory distress syndrome.
2. Deep tendon reflexes 4+ Hyperactive deep tendon reflexes demonstrate
a progression from mild preeclampsia to severe gestational hypertension or
preeclampsia with severe features. This finding indicates the need for
hospitalization and treatment with magnesium sulfate to prevent eclamptic
seizures.
3. When using Nägele's rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the client's last
menstrual cycle and then add 7 days.
4. With preeclampsia, a client's platelet count is usually below 100,000/mm^3.
There is no need to report this finding. With preeclampsia: BUN level is >20
mg/dL.
5. During the second stage, frequent position changes can promote the
descent of the fetus through the birth canal. The nurse should assist the client in
finding optimal positions of comfort which allow the client to rest between
contractions but also enhances expulsive efforts. Incorrect Answers: B. Having
the client hold her breath while pushing increases intrathoracic and
cardiovascular pressure and decreases the amount of oxygen that reaches the
fetus. C. The nurse should assess the client's vital signs every 5 to 30 minutes
while the client is in the second stage of labor. D. The client should remain on
bedrest during this stage of labor due to impending delivery.
6. Meconium-stained fluid does not require discontinuation of oxytocin.
Oxytocin should be discontinued in the presence of late or variable fetal
heart rate decelerations. Meconium-stain can cause neonatal meconium
aspiration syndrome. The nurse should gather equipment for neonatal
resuscitation.
