ATI RN
ATI Capstone Maternal Newborn Questions
Question 1 of 5
For each body system below, specify the potential manifestations that the client may experience. Match each body system with the potential manifestation.
Correct Answer: D
Rationale: General: Body aches (
D) - reflects systemic discomfort. Head, ears, eyes, nose, and throat: Headache (
C) - common neurological symptom. Gastrointestinal: Nausea (
A) - due to digestive disturbances. Breast: Pain (
B) - related to tissue sensitivity or engorgement.
Extract:
Newborn
Question 2 of 5
Complete the following sentence using the lists of options: The nurse should [option] intramuscular ceftriaxone [purpose].
Correct Answer: A
Rationale: Intramuscular ceftriaxone is effective in preventing ophthalmia neonatorum, caused by Neisseria gonorrhoeae. This bacterial prophylaxis inhibits cell wall synthesis, reducing infection transmission from mother to newborn.
Extract:
Client reports feeling well, findings include: General: No acute distress. Cardiovascular: No murmur or rub. Respiratory: Bilateral breath sounds clear. Abdomen: Fundal height 38 cm. Genitourinary: Purulent cervical discharge.
Question 3 of 5
A nurse conducts a physical exam of a client who reports feeling well. Which finding requires clinical intervention?
Correct Answer: E
Rationale: Purulent cervical discharge suggests an ongoing infection, likely bacterial cervicitis. It reflects leukocyte accumulation due to pathogenic invasion, requiring clinical intervention to prevent complications.
Extract:
Question 4 of 5
For each body system below, specify the potential complications that can occur. Match the body system with the potential complications.
Correct Answer: B
Rationale: Neurologic: Seizures (
B) - due to potential neurological dysfunction. Musculoskeletal: Hypotonia (
A) - indicating muscle weakness. Head, ears, eyes, nose, and throat: Hearing loss (
C) - from auditory nerve or structural damage.
Extract:
Newborn born two hours ago at 36 weeks gestation, findings: Bruising noted over occiput, yellowish hue on sclera and skin blanching, transcutaneous bilirubin level 12.5 mg/dL, phototherapy initiated.
Question 5 of 5
A newborn born two hours ago at 36 weeks gestation has noted findings. Which findings are consistent with neonatal jaundice?
Correct Answer: B,C,D
Rationale: Yellowish sclera and blanching skin (
B), transcutaneous bilirubin level of 12.5 mg/dL (
C), and phototherapy initiation (
D) indicate neonatal jaundice from elevated bilirubin levels due to immature hepatic conjugation, requiring monitoring and treatment to prevent kernicterus.