ATI RN
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.