ATI LPN
ATI Maternal Newborn Questions
Question 1 of 5
A newborn is noted to have secretions bubbling out of the nose and mouth after delivery. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Suction the mouth with a bulb syringe. This is the priority action because secretions in the mouth can obstruct the airway and lead to respiratory distress. Suctioning the mouth first helps clear the airway effectively. Suctioning the nose with a bulb syringe (choice
A) may not address the immediate risk of airway obstruction. Using a suction catheter with low negative pressure (choice
C) can be too strong for a newborn. Turning the newborn on their side (choice
D) may not effectively address the airway obstruction from secretions in the mouth.
Question 2 of 5
A healthcare professional is discussing risk factors for urinary tract infections with a newly licensed nurse. Which of the following conditions should the healthcare professional include in the teaching? (Select all that apply)
Correct Answer: D
Rationale: The correct answer is D (All of the Above). Epidural anesthesia can increase the risk of urinary retention leading to UTIs. Urinary bladder catheterization can introduce pathogens into the urinary tract. Frequent pelvic examinations can disrupt the natural flora and introduce bacteria.
Therefore, all the conditions listed can contribute to an increased risk of urinary tract infections. The other choices (A, B,
C) are incorrect because each of them individually presents a risk factor for UTIs, and selecting only one or two choices would not encompass the full range of risk factors that the healthcare professional should include in the teaching.
Question 3 of 5
During an assessment, a healthcare provider observes small pearly white nodules on the roof of a newborn's mouth. This finding is a characteristic of which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Epstein's pearls. These small pearly white nodules are commonly found on the roof of newborns' mouths and are considered a normal finding. They are formed from trapped epithelial cells during the development of the baby's mouth. They are harmless and typically resolve on their own without treatment.
A: Mongolian spots are bluish-black or bruise-like markings found on the skin, not in the mouth.
B: Milia spots are small, white, raised bumps on the skin, not found in the mouth.
C: Erythema toxicum is a common benign rash in newborns, not related to the mouth.
In summary, Epstein's pearls are the correct answer due to their specific location in the newborn's mouth, their appearance, and the fact that they are a normal finding in newborns. The other choices are incorrect as they describe different conditions not related to the oral cavity.
Question 4 of 5
A client is being discharged after childbirth. At 4 weeks postpartum, the client should contact the provider for which of the following client findings?
Correct Answer: C
Rationale: The correct answer is C: Sore nipple with cracks and fissures. This is indicative of possible breastfeeding issues like improper latch or infection, requiring prompt intervention to prevent complications. Scant, non-odorous white vaginal discharge (
A) is normal postpartum lochia. Uterine cramping during breastfeeding (
B) is common due to oxytocin release. Decreased response with sexual activity (
D) is a common postpartum concern but not an urgent issue at 4 weeks. Addressing sore nipples promptly is crucial for successful breastfeeding and maternal well-being.
Question 5 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.