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ATI Capstone Class Exam Week 12 Questions

Question 1 of 5

A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?

Correct Answer: D

Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend and abduct arms.
Toe stimulation elicits the Babinski reflex, head-turning elicits the tonic neck reflex, and foot contact elicits the stepping reflex.

Question 2 of 5

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

Correct Answer: C

Rationale: Resuming vaginal intercourse after 2 weeks is safe post-D&C, allowing cervical closure. Products of conception should be removed, zinc isn’t specifically needed, and aspirin increases bleeding risk.

Question 3 of 5

A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?

Correct Answer: D

Rationale: The nipple line is the standard landmark for measuring chest circumference in newborns, ensuring consistent and accurate measurements. Intercostal spaces, xiphoid process, and sternal notch are not suitable due to variability or improper positioning.

Question 4 of 5

A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory rates is within the expected reference range for a newborn?

Correct Answer: A

Rationale: A respiratory rate of 48/min is within the normal range for newborns (30-60/min), indicating healthy lung function. 22/min is too low, and 100 or 110/min indicate tachypnea, suggesting distress.

Question 5 of 5

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

Correct Answer: B

Rationale: Caput succedaneum, which crosses suture lines, is common with vacuum-assisted delivery and resolves in days. Cephalohematoma doesn’t cross suture lines, Mongolian spots are flat birthmarks, and telangiectatic nevi are vascular marks, not swollen.

Similar Questions

A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother’s room. Which of the following is an appropriate response by the nurse?
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
A nurse is monitoring a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are full and warm to palpation. Which of the following interpretations of these findings should the nurse make?
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?

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