ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Mother who refused phytonadione (Mephyton) injection for her newborn.
Question 1 of 5
A mother refused to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan. Which of the following signs or symptoms might the nurse observe in the baby as a result?
Correct Answer: D
Rationale: Phytonadione (vitamin K) deficiency can cause bleeding issues, like oozing at the circumcision site.
Extract:
Infant with suspected congenital hip dysplasia.
Question 2 of 5
The nurse is assisting the health care provider (HCP) in examining an infant with suspected congenital hip dysplasia. What sign should the nurse expect to find during the assessment?
Correct Answer: D
Rationale: Limited hip abduction is a key sign of congenital hip dysplasia due to abnormal joint development.
Extract:
Client 3 weeks postpartum, reporting feeling 'down,' sad, no energy, and wanting to cry.
Question 3 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: A
Rationale: Assessing for thoughts of harming the newborn is critical to identify severe postpartum depression or psychosis.
Extract:
Client with a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours.
Question 4 of 5
The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?
Correct Answer: C
Rationale: Calculation: 0.2 mg every 6 hours = 4 doses in 24 hours; 0.2 mg x 4 = 0.8 mg.
Extract:
Newborn who is 56 hours old, vital signs: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%.
Question 5 of 5
A nurse is caring for a newborn who is 56 hours old. Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
Correct Answer: F
Rationale: Elevated heart rate, respiratory rate, and low temperature align with Neonatal Abstinence Syndrome (NAS) symptoms.