ATI LPN
ATI Maternal Newborn Questions
Question 1 of 5
A healthcare provider is assisting with the care of a newborn immediately following birth. Which of the following nursing interventions is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: Covering the newborn's head with a cap. This is the highest priority as newborns are at risk for heat loss due to their large head surface area. By covering the newborn's head with a cap, heat loss can be minimized, helping to maintain the baby's body temperature. This is crucial for the newborn's overall well-being and to prevent complications such as hypothermia.
Initiating breastfeeding (
A) is important for newborn nutrition but can be delayed slightly without immediate harm. Performing the initial bath (
B) can also wait as it is not as urgent as maintaining the newborn's temperature. Giving a vitamin K injection (
C) is important for blood clotting but can be done after ensuring the baby's temperature is stable.
Question 2 of 5
During the third trimester of pregnancy, which of the following findings should a nurse recognize as an expected physiologic change?
Correct Answer: A
Rationale: The correct answer is A: Gradual lordosis. During the third trimester, the growing uterus shifts the center of gravity forward, leading to an increased lumbar curvature known as lordosis. This change helps maintain balance and support the extra weight. Increased abdominal muscle tone (
B) is not an expected finding as abdominal muscles tend to stretch and weaken during pregnancy. Posterior neck flexion (
C) is not a common physiologic change during the third trimester. Decreased mobility of pelvic joints (
D) is incorrect as hormonal changes during pregnancy actually increase flexibility in the pelvic joints to prepare for childbirth.
Question 3 of 5
When should a provider order a maternal serum alpha-fetoprotein (MSAFP) screening for pregnant clients?
Correct Answer: C
Rationale:
Rationale:
- MSAFP screening is recommended for all pregnant clients to assess risk of neural tube defects or chromosomal abnormalities.
- It is a standard prenatal test regardless of specific medical conditions.
- Options A, B, and D are not directly related to the indication for MSAFP screening in pregnancy.
Question 4 of 5
When reinforcing teaching with a group of new parents about proper techniques for bottle feeding, which of the following instructions should be provided?
Correct Answer: C
Rationale:
Rationale:
C is correct because keeping the nipple full of formula throughout the feeding helps prevent the baby from swallowing air, reducing the risk of gas and colic. A is incorrect because burping should be done mid-feeding. B is incorrect because newborns should be held in an upright position while feeding to prevent choking. D is incorrect because unused formula should be discarded within 1-2 hours, not refrigerated.
Question 5 of 5
When assessing a newborn with respiratory distress syndrome who received synthetic surfactant, which parameter should the nurse monitor to evaluate the newborn's condition?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation. Monitoring oxygen saturation is crucial in evaluating the newborn's respiratory status post-surfactant administration. It helps assess the effectiveness of surfactant therapy in improving oxygenation. Body temperature and serum bilirubin are not directly related to assessing respiratory distress syndrome. Heart rate may be affected by various factors and may not provide specific information on respiratory status.