ATI RN
PN Maternal Newborn Online Practice 2023 A Questions
Question 1 of 5
What tion in the FHR that is abrupt and appears to be does the nurse inform this group that they are at in the shape of a W. What is the most likely cause highest risk for? of this?
Correct Answer: D
Rationale: An abnormality in the FHR that is abrupt and appears to be in the shape of a "W" is often indicative of variable decelerations. Variable decelerations typically occur due to compression of the umbilical cord, leading to a temporary decrease in oxygen supply to the fetus. It is important for the nurse to inform this group that they are at the highest risk for compression of the umbilical cord as this can result in fetal distress and potentially lead to serious complications if not promptly addressed.
Question 2 of 5
A newborn is born to a mother with gestational diabetes. What complication is the nurse most likely to monitor for?
Correct Answer: A
Rationale: Babies of diabetic mothers risk hypoglycemia due to high insulin.
Question 3 of 5
The nurse is educating a client about managing heartburn during pregnancy. What is the best advice?
Correct Answer: B
Rationale: Eating small, frequent meals helps prevent reflux and minimizes heartburn during pregnancy.
Question 4 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Administering a pneumococcal immunization to the newborn within 4 hours following birth is a crucial action to include in the plan of care for a pregnant client with HIV. Infants born to HIV-positive mothers are at higher risk for infections, including pneumococcal disease. Administering a pneumococcal vaccine shortly after birth helps protect the newborn from this serious infection. It is important to follow established guidelines for immunizations in newborns of HIV-positive mothers to optimize the infant's health outcomes.
Question 5 of 5
What method of heat loss may occur if a newborn is placed on a cold scale or touch with cold hands:
Correct Answer: A
Rationale: Conduction is the transfer of heat between objects that are in direct contact with each other. In the scenario where a newborn is placed on a cold scale or touched with cold hands, heat loss occurs through conduction. The cold temperature of the scale or hands will draw heat away from the infant's body, leading to a drop in body temperature. It is essential to ensure that newborns are not exposed to cold surfaces or objects for prolonged periods to prevent heat loss through conduction and maintain their body temperature within a safe range.