ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn 1 hr following birth, placed on radiant warmer, pink with acrocyanosis, mild grunting, nasal flaring, intermittent retractions
Question 1 of 5
A nurse is assisting with the care of a newborn 1 hr following birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: B,C,D,F,G
Rationale: Respiratory distress signs (grunting, flaring, retractions) indicate potential lung or heart issues. Serum glucose, hematocrit, and hemoglobin are critical due to risks like hypoglycemia or anemia. Heart rate abnormalities could signal distress or cardiac issues.
Extract:
Client 12 hr postpartum, in dependent, taking-in phase
Question 2 of 5
A nurse is collecting data from a client who is 12 hr postpartum. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?
Correct Answer: A
Rationale: In the taking-in phase, mothers often express excitement and focus on their labor experience, being passive and dependent. Appetite is typically increased, learning newborn care comes later in the taking-hold phase, and family focus occurs in the letting-go phase.
Extract:
Client 2 hr post vaginal birth
Question 3 of 5
A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take?
Correct Answer: A,B,D
Rationale: Documenting fundal height, observing lochia, and checking fundal position monitor uterine involution and bleeding risk. Massaging a firm fundus is unnecessary, and terbutaline is inappropriate for a boggy fundus.
Extract:
Question 4 of 5
The names of the newborn reflexes are? Select all that apply.
Correct Answer: A,B,C,E,F
Rationale: Moro, Rooting, Gag, Babinski, and
Stepping are newborn reflexes present at birth, aiding survival or indicating neurological health. Running, Crawling, and Standing are developmental milestones, not reflexes, and Pincer Grasp is a later skill.
Extract:
Newborn with transient tachypnea (TTN)
Question 5 of 5
A nurse is explaining TTN to the newborn's mother. Which statement indicates that the mother understands the teaching?
Correct Answer: B
Rationale: TTN is linked to cesarean births due to delayed lung fluid clearance, resolving in days. NICU stays are short, breastfeeding is possible unless severe, and oxygen therapy at home is rare.