Questions 60

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ATI NUR 207 Maternal Newborn Exam Questions

Extract:

Small for gestational age (SGA) newborn.


Question 1 of 5

When planning the care for a small for gestational age (SGA) newborn, which assessment should the nurse prioritize?

Correct Answer: B

Rationale: SGA newborns are at high risk for hypoglycemia due to low glycogen stores, requiring priority assessment.

Extract:

Mother delivered vaginally 2 hours ago, fundus firm at umbilicus, BP 108/64, apical 90, RR 20, temp 98.6°F, sudden heavy lochia saturating chux pad in 5 minutes.


Question 2 of 5

A nurse admits a normal vaginal delivery to the maternity unit 2 hours ago. The patient's fundus is firm at the umbilicus. On admission, her vital signs are BP 108/64, Apical 90, RR 20, and Temp. 98.6°F. Suddenly, her lochia appears to be heavy, saturating the entire chux pad within 5 minutes. At this time, the nurse's first priority action is:

Correct Answer: D

Rationale: Massaging the fundus promotes uterine contraction, addressing heavy lochia to control bleeding.

Extract:

Rh-negative client.


Question 3 of 5

A nurse is caring for a client who is Rh negative. Which of the following findings would cause the nurse to administer Rh immunoglobulin?

Correct Answer: B

Rationale: Rh immunoglobulin prevents antibody formation in Rh-negative mothers with Rh-positive newborns.

Extract:

Newborn who is 56 hours old, vital signs: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%.


Question 4 of 5

A nurse is caring for a newborn who is 56 hours old. Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Correct Answer: F

Rationale: High heart rate, respiratory rate, and temperature instability are consistent with Neonatal Abstinence Syndrome.

Extract:

Infant with suspected necrotizing enterocolitis (NEC).


Question 5 of 5

Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system. Which findings would cause the nurse to suspect NEC?

Correct Answer: C

Rationale: Abdominal distention, temperature instability, and bloody stools are classic NEC symptoms.

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