ATI Custom Maternal Newborn | Nurselytic

Questions 48

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ATI Custom Maternal Newborn Questions

Extract:

Newborn 1 hour after birth, axillary temperature 95.8°F, apical pulse 114 bpm, respiratory rate 60 breaths/minute


Question 1 of 5

When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F (35.4° C), an apical pulse of 114 beats per minute, and a respiratory rate of 60 breaths per minute. The nurse would identify which area as the priority?

Correct Answer: A

Rationale: The low temperature (95.8°F) indicates hypothermia, a priority due to risks of hypoglycemia, acidosis, and impaired oxygen delivery.

Extract:

Woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday, orders for perineal ice packs, sitz bath, stool softener


Question 2 of 5

A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her primary health care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool softener. What information is most closely correlated with these orders?

Correct Answer: C

Rationale: An episiotomy correlates with orders for ice packs, sitz baths, and stool softeners, as these address pain and healing of the perineal incision.

Extract:

WIC program


Question 3 of 5

The Women, Infants, and Children (WIC) program provides

Correct Answer: C

Rationale: WIC provides supplemental food supplies to low-income pregnant or breastfeeding women and children up to age 5 at nutritional risk.

Extract:

Client at 40 weeks gestation, in labor, electronic fetal heart rate monitor tracing


Question 4 of 5

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

Correct Answer: C

Rationale: Variable decelerations indicate fetal hypoxia due to umbilical cord compression, requiring urgent intervention as they suggest the cord is trapped or twisted, impairing fetal oxygen supply.

Extract:

Newborn immediately after birth


Question 5 of 5

The priority nursing care of the newborn immediately after birth includes all except:

Correct Answer: D

Rationale: Announcement of the delivery is not a priority in nursing care of the newborn immediately after birth. While it may be a joyful moment for the parents and family, it does not affect the health and well-being of the newborn.
Therefore, it can be done later after the essential newborn care has been completed.

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