ATI RN
ATI Maternal Newborn Exam Questions
Extract:
A client is ordered 380 mL of packed red blood cells over 4 hours.
Question 1 of 5
A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)
Correct Answer: 95 mL/hour
Rationale: 380 mL ÷ 4 hours = 95 mL/hour.
Extract:
A newborn exposed to an active maternal gonorrheal infection.
Question 2 of 5
The nursery nurse caring for a newborn exposed to an active maternal gonorrheal infection will be especially alert for the presence of:
Correct Answer: D
Rationale: Eye infection, specifically conjunctivitis (ophthalmia neonatorum), is common in newborns exposed to gonorrhea.
Extract:
During a delivery complicated by shoulder dystocia.
Question 3 of 5
During a delivery complicated by shoulder dystocia, the baby’s head retracts back against perineum after it emerges, a phenomenon known as ‘turtling’. Which of the following is the most appropriate immediate action for the healthcare provider to take?
Correct Answer: B
Rationale: The McRoberts maneuver, involving hyperflexion of the mother's legs, widens the pelvis, facilitating shoulder delivery in cases of shoulder dystocia.
Extract:
A newborn is 56 hours old and was born at 38 weeks gestation. The nurse notes that the newborn has been experiencing difficulty feeding, with poor sucking reflex and episodes of irritability. The newborn’s extremities are jittery, and there is a weak cry. The nurse also observes mild tremors and excessive sweating. Vital Signs: Heart rate: 168/min, Respiratory rate: 70/min, Temperature: 36.1°C (97.0°F), Oxygen saturation: 97%. Diagnostic Results: Blood glucose level: 40 mg/dL (low), Urine toxicology screen: Positive for opioids.
Question 4 of 5
A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? For each assessment finding, click to specify if the assessment finding is consistent with hypoglycemia or neonatal abstinence syndrome (NAS).
| Assessment Finding | Hypoglycemia | Neonatal Abstinence |
|---|---|---|
| Jittery extremities. | ||
| Poor sucking reflex. | ||
| Excessive sweating. | ||
| Irritability. | ||
| Weak cry. | ||
| Mild tremors. | ||
| Low blood glucose level. |
Correct Answer: A,B,C,D,E,F,G
Rationale: A: Jittery extremities (Hypoglycemia, NAS). B: Poor sucking reflex (Hypoglycemia, NAS). C: Excessive sweating (Hypoglycemia, NAS). D: Irritability (Hypoglycemia, NAS). E: Weak cry (Hypoglycemia, NAS). F: Mild tremors (Hypoglycemia, NAS). G: Low blood glucose level (Hypoglycemia). H: Positive urine toxicology (NAS).
Extract:
A newborn after a precipitous delivery.
Question 5 of 5
What physical assessment finding is expected in a newborn after a precipitous delivery?
Correct Answer: A
Rationale: Bruising on the head is common in newborns after a precipitous delivery due to rapid passage through the birth canal, causing trauma to the head.