ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 9
During the first few minutes after birth which physiologic changes occurs in the newborn as response to vascular pressure changes in increased oxygen levels?
Correct Answer: A
Rationale: Immediately after birth, as the newborn takes its first breaths and transitions to breathing air, there is a rapid increase in oxygen levels in the blood. This sudden increase in oxygen causes the pulmonary vessels in the newborn's lungs to dilate. This dilation helps improve blood flow through the lungs, allowing for efficient exchange of oxygen and carbon dioxide. The dilation of pulmonary vessels is a normal physiologic response to the changing environment in the newborn's body after birth.
Question 2 of 9
The nurse is caring for a 12-year-old child hospitalized for internal injuries following a motor vehicle accident. For which medical treatment would the nurse ensure that an informed consent is completed beyond the one signed at admission?
Correct Answer: D
Rationale: Certain procedures, however, require a specific process of informed consent, including major and minor surgery; invasive procedures such as lumbar puncture or bone marrow aspiration; treatments placing the child at higher risk, such as chemotherapy or radiation therapy; procedures or treatments involving research; photography involving children; and applying restraints to children.
Question 3 of 9
A client at 34 weeks' gestation is diagnosed with polyhydramnios. What complication should the nurse monitor for?
Correct Answer: A
Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension.
Question 4 of 9
The nurse is assessing a postpartum client who is breastfeeding. What finding requires further evaluation?
Correct Answer: C
Rationale: Cracked and bleeding nipples may indicate poor latch or incorrect breastfeeding technique, requiring intervention.
Question 5 of 9
Why is it important for nurses to approach the topic of sexual history with sensitivity and create a nonjudgmental and confidential environment?
Correct Answer: B
Rationale:
Question 6 of 9
After her baby's birth a patient wishes to begin breastfeeding. The nurse assists the client by:
Correct Answer: D
Rationale: The rooting reflex helps initiate breastfeeding.
Question 7 of 9
The nurse knows that the emancipated minor is considered to have the legal capacity of an adult and may make his or her own health care decisions. Which child would potentially be considered an emancipated minor?
Correct Answer: B
Rationale: Emancipation may be considered in any of the following situations, depending on the state's laws: membership in a branch of the armed services, marriage, court-determined emancipation, financial independence and living apart from parents, college attendance, pregnancy, mother younger than 18 years of age, and a runaway.
Question 8 of 9
What response by a client indicates effective postvasectomy teaching?
Correct Answer: B
Rationale: Semen volume remains unchanged after vasectomy.
Question 9 of 9
The best indication that correct attachment to the breast has occurred is when the:
Correct Answer: B
Rationale: The best indication that correct attachment to the breast has occurred is when the baby's mouth covers most of the areolar surface. This is important because proper latch and attachment are crucial for effective breastfeeding. When the baby's mouth covers most of the areola, it ensures that the baby is latched onto the breast properly, allowing them to feed efficiently and receive an adequate amount of milk. This also helps prevent nipple soreness and pain for the mother. Additionally, when the baby's mouth covers most of the areola, it helps ensure that the baby is positioned correctly to effectively stimulate milk production and flow.