ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
A patient vaginally delivered an infant at 4750 g moderate shoulder dystocia occurred during the birth. During the initial assessment of the infant the nurse should look for
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. During shoulder dystocia, the infant may experience umbilical cord compression leading to decreased oxygen supply and potential bradycardia. Bradycardia is a critical sign that requires immediate attention. Erb's palsy (A) is a brachial plexus injury due to shoulder dystocia, not an immediate concern. Bell palsy (B) is a facial nerve paralysis unrelated to birth trauma. Petechiae (D) are small red or purple spots that may indicate bleeding disorders but are not specific to shoulder dystocia.
Question 2 of 5
The nurse is teaching the postpartum client about newborn transitional stool. Which should the nurse include in the teaching session? SATA
Correct Answer: A
Rationale: The correct answer is A because transitional stools in newborns typically have a greenish-brown color due to the presence of meconium and the changing composition of the stool as the baby starts digesting breastmilk or formula. Rationale: 1. A: Greenish-brown color is characteristic of transitional stools as meconium is being passed out. Incorrect answers: 2. B: Transitional stools are not necessarily looser in consistency. 3. C: Transitional stools are not typically described as seedy with a sweet-sour smell. 4. D: Tar-like consistency is more indicative of meconium, not transitional stools.
Question 3 of 5
What hormone is responsible for the development and maturation of the ovarian follicles?
Correct Answer: A
Rationale: Rationale: Follicle-stimulating hormone (FSH) is responsible for the development and maturation of ovarian follicles by stimulating them to grow and produce estrogen. FSH plays a crucial role in the menstrual cycle and acts on the ovaries to promote follicular development. LH surge triggers ovulation, estrogen is produced by the developing follicles and progesterone is primarily produced after ovulation by the corpus luteum. Therefore, A is correct as it directly influences the growth and maturation of ovarian follicles.
Question 4 of 5
What should health-care providers be attentive to during the trauma-informed gynecologic examination to avoid retraumatization? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. B: Establishing safety and trust is crucial to avoid retraumatization during the examination. It helps create a secure environment for the patient. C: Recognizing signs of distress and offering support shows empathy and helps address any emotional reactions that may arise during the examination. D: Using trauma-sensitive language and communication is essential to avoid triggering past traumas and ensuring clear and respectful communication. Choices A is incorrect because while providing information about trauma support resources is important, it is not directly related to avoiding retraumatization during the examination.
Question 5 of 5
What question during a family assessment could the nurse ask to determine if the family has necessary resources?
Correct Answer: B
Rationale: The correct answer is B: "Do you have a group of friends, neighbors, or a church that helps you when you are ill?" This question assesses the family's support network and resources in times of need. It helps determine if the family has a social support system that can provide assistance during challenging situations. Options A, C, and D are incorrect as they do not directly address the availability of external resources for the family's well-being. Option A focuses on emotional aspects, C on independence, and D on family dynamics, which are not directly related to assessing resources.