ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
A newborn client with a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
Question 1 of 5
A nurse is caring for a newborn client. The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea. What condition does the nurse suspect?
Correct Answer: B
Rationale: Neonatal abstinence syndrome is indicated by symptoms such as high-pitched crying, increased muscle tone, yawning, poor feeding with vomiting, and tachypnea, which are consistent with drug withdrawal in newborns exposed to opiates in utero.
Extract:
A client with irregular uterine contractions that are mild to palpation, FHR 130/min with moderate variability and accelerations, ambulating, took a warm shower, resting in bed, rates pain of contractions at 3/10.
Question 2 of 5
A nurse is caring for a client with irregular uterine contractions that are mild to palpation. FHR is 130/min with moderate variability and accelerations noted. The client has been ambulating in the hallway, took a warm shower, and is now resting in bed. The client rates pain of contractions at 3 on a 0 to 10 scale. What potential condition does the nurse suspect?
Correct Answer: B
Rationale: Dysfunctional labor is characterized by irregular uterine contractions that are mild, as described, and can be managed with ambulation, showers, and rest, fitting the client's symptoms.
Extract:
A newborn with signs of diaphoresis, jitteriness, and lethargy.
Question 3 of 5
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diaphoresis, jitteriness, and lethargy are classic signs of hypoglycemia in newborns, making obtaining a blood glucose level by heel stick the priority action.
Extract:
Four newborns in a special care nursery: 8-hour-old with blue coloring of hands and feet, newborn with small raised pearly spots on nose, newborn with apical heart rate of 140 bpm, newborn with nasal flaring and grunting.
Question 4 of 5
A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?
Correct Answer: D
Rationale: Nasal flaring and grunting indicate respiratory distress, requiring immediate intervention to ensure the newborn's airway and breathing are supported.
Extract:
Client at 9 weeks pregnant, had a miscarriage at 7 weeks, an ectopic pregnancy at 6 weeks treated with methotrexate, five-year-old son born vaginally at 39 weeks, three-year-old daughter born vaginally at 35 weeks.
Question 5 of 5
The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment. The client is currently 9 weeks pregnant. She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate. Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks. What is her GTPAL?
Correct Answer: C
Rationale: GTPAL is calculated as G5 (current pregnancy, miscarriage, ectopic, two births), T1 (39-week birth), P1 (35-week birth), A2 (miscarriage, ectopic), L2 (two living children), matching C.