The nurse assess that a newborn is in respiratory distress when the infant exhibits:

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ATI Maternal Newborn Proctored Exam Questions

Question 1 of 5

The nurse assess that a newborn is in respiratory distress when the infant exhibits:

Correct Answer: D

Rationale: In newborns, respiratory distress can present with various signs and symptoms. The combination of tachypnea (rapid breathing), chest retractions (visible sinking of the skin in between or below the ribs with each breath), grunting (sound made during expiration), and cyanosis (blue discoloration of the skin and mucous membranes) are indicative of respiratory distress in a newborn. These signs suggest that the newborn is having difficulty breathing and may require immediate medical attention. It is essential to recognize and address respiratory distress promptly to ensure the well-being of the newborn.

Question 2 of 5

Which newborn reflex is assessed by stroking the cheek?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

How should a nurse educate a mother about kangaroo care for her preterm infant?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A nurse is conducting a discharge teaching for a client going home after cesarean section. Which S&S should the client be taught to report?

Correct Answer: A

Rationale: After a cesarean section, the client should be taught to report symptoms of a urinary tract infection, such as frequency, urgency, and burning on urination. These symptoms can indicate an infection which needs prompt treatment to prevent complications. It is important for the client to report these symptoms to their healthcare provider for appropriate evaluation and management.

Question 5 of 5

A woman delivered a baby 9lbs 10oz 1 hour ago. When you arrive to perform a 15-minute assessment she tells you that she feels all wet underneath. You discover that both pads are completely saturated and that she’s lying in a 6-inch diameter of blood. What does nurse do first

Correct Answer: A

Rationale: In this scenario, the priority action for the nurse to take is to assess the source of the woman's feeling of wetness underneath her. This could indicate a significant amount of postpartum bleeding, also known as hemorrhage. It is crucial to determine if she is experiencing excessive bleeding as this can be life-threatening if not addressed promptly. By identifying the source of the wetness, the nurse can assess the situation and take appropriate actions to address any potential complications. Once the severity of bleeding is determined, further assessments and interventions can be initiated accordingly.

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