A male infant delivered at 28 weeks gestation weighs 2 pounds, 12 ounces. When performing an assessment, the nurse would probably observe:

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Maternal Newborn Proctored ATI Questions

Question 1 of 5

A male infant delivered at 28 weeks gestation weighs 2 pounds, 12 ounces. When performing an assessment, the nurse would probably observe:

Correct Answer: B

Rationale: A male infant delivered at 28 weeks gestation, as described, would likely have very underdeveloped skin due to the premature birth. The premature skin is often transparent, allowing the prominent blood vessels underneath to be visible, and may also have a reddish hue due to the skin's immaturity. This characteristic appearance is a common finding in premature infants and is a result of their skin being thinner and more fragile than that of full-term infants. The other options, such as a wide, staring eye, an absence of lanugo, and a scrotum with descended testicles, are not specifically associated with premature birth and are not likely to be observed in this scenario.

Question 2 of 5

A client in the first stage of labor reports severe lower back pain. What intervention is most effective?

Correct Answer: B

Rationale: Frequent position changes, especially to hands-and-knees or leaning forward, can relieve back pain caused by fetal position.

Question 3 of 5

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

Correct Answer: B

Rationale: Following a dilation and curettage (D&C) procedure for a miscarriage, it is important to inform the client that they may experience vaginal bleeding containing products of conception. This is a normal part of the recovery process after this type of procedure. The presence of these products of conception in the vaginal bleeding should be monitored and reported to the healthcare provider if there are any unusual symptoms or excessive bleeding. It is essential for the nurse to provide appropriate information and guidance to the client about what to expect post-procedure to ensure they can differentiate between normal and abnormal symptoms.

Question 4 of 5

The nurse is caring for a client with preeclampsia. What is the most important assessment?

Correct Answer: D

Rationale: Blood pressure monitoring is critical to prevent complications such as eclampsia and placental issues in preeclampsia.

Question 5 of 5

The nurse is educating a client about kick counts. When should the client contact the healthcare provider?

Correct Answer: A

Rationale: Fewer than 10 movements in 2 hours is concerning and warrants further evaluation.

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