ATI RN
ATI Capstone Class Exam Week 12 Questions
Question 1 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: The correct answer is A: Drying the newborn's skin thoroughly. When a newborn is born, they are wet and evaporative heat loss occurs as the moisture on their skin evaporates, leading to cooling. Drying the newborn's skin thoroughly helps reduce this heat loss by preventing the moisture from evaporating. Preventing air drafts (
B) and placing the newborn on a warm surface (
C) can help with overall thermal regulation but do not specifically target evaporative heat loss. Maintaining ambient room temperature at 24°C (75.2°F) (
D) is important for thermoregulation but does not directly address evaporative heat loss.
Question 2 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse’s priority?
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress. The nurse's priority is to ensure the newborn's ability to breathe effectively. Respiratory distress is common after cesarean delivery due to fluid in the lungs. Addressing this promptly is critical to prevent complications. Accidental lacerations (
A) are important but not immediately life-threatening. Hypothermia (
C) can be addressed after ensuring the newborn's respiratory status. Acrocyanosis (
D) is a common finding in newborns and not an urgent concern.
Question 3 of 5
After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?
Correct Answer: D
Rationale: The correct answer is D: Place the newborn on a warm crib pad. This helps prevent heat loss via conduction by providing a warm surface for the newborn to rest on, minimizing direct contact with a colder surface. Drying the newborn with a warm blanket (choice
A) can help prevent heat loss via evaporation, not conduction. Closing the doors to the delivery room (choice
B) may help maintain room temperature but does not directly prevent heat loss via conduction. Wrapping the newborn in a blanket (choice
C) helps prevent heat loss via radiation, not conduction.
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: The correct answer is A: 48/min. The normal respiratory rate for a newborn is typically between 30-60 breaths per minute.
Choice A falls within this range, indicating a normal respiratory rate for the newborn.
Choices B, C, and D are outside the expected reference range.
Choice B (22/min) is too low, while choices C (100/min) and D (110/min) are too high, which could indicate respiratory distress or other underlying issues in the newborn. It is important for the nurse to monitor the newborn closely and further assess if the respiratory rate is outside the normal range.
Question 5 of 5
A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Hypertension is the most common risk factor for placental abruption due to the increased pressure on the placenta, leading to separation from the uterine wall. Cocaine use (
A) and cigarette smoking (
D) can also increase the risk but are not as common as hypertension. Blunt force trauma (
B) can cause a sudden separation of the placenta but is less common compared to hypertension in a routine prenatal setting.