ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client at 6 weeks gestation requesting to hear fetal heartbeat.
Question 1 of 5
A client, at 6 weeks gestation, arrives at the OB clinic for her initial visit and requests to hear the fetal heartbeat. What should the nurse include in the teaching regarding cardiac development?
Correct Answer: B
Rationale: The fetal heartbeat is detectable by external Doppler around 10-12 weeks, when it is strong enough for detection.
Extract:
A newborn client with a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
Question 2 of 5
A nurse is caring for a newborn client. The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea. What condition does the nurse suspect?
Correct Answer: B
Rationale: Neonatal abstinence syndrome is indicated by symptoms such as high-pitched crying, increased muscle tone, yawning, poor feeding with vomiting, and tachypnea, which are consistent with drug withdrawal in newborns exposed to opiates in utero.
Extract:
Primigravida asking about placenta function.
Question 3 of 5
A nurse is providing care to a woman who is at 36 weeks of gestation and in preterm labor with ruptured membranes. The nurse determines that the client's oral temperature is 39.0 C (102.2 F). Besides notifying the provider, which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Administering antipyretics for maternal fever is essential to reduce risks of fetal tachycardia and distress.
Extract:
Newborn with hyperbilirubinemia treated with phototherapy.
Question 4 of 5
A nurse is caring for a newborn with hyperbilirubinemia and is being treated with phototherapy. For each of the following nursing actions, specify if it is indicated or contraindicated with phototherapy treatment.
Correct Answer: B,D,E,F
Rationale: Indicated: Removing for assessment, maintaining eye mask, repositioning, and reporting sunken fontanels ensure safety and monitor for dehydration. Contraindicated: Lotion can interfere with phototherapy, and feedings every 8 hours are too infrequent.
Extract:
Newborn being assessed for reflexes.
Question 5 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro (or startle) reflex, the nurse should take which of the following actions?
Correct Answer: B
Rationale: A sharp hand clap elicits the Moro reflex, causing the newborn to spread and then retract their arms.