ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Question 1 of 5
A newborn is most interested in eating in which wake and sleep state?
Correct Answer: D
Rationale: The alert state is optimal for feeding as the newborn is awake, calm, and attentive, showing hunger cues like rooting. Drowsy or crying states hinder effective feeding, and active alert may lead to distractions.
Extract:
Newborn immediately following birth
Question 2 of 5
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse expect to administer?
Correct Answer: B,C,D
Rationale: Hepatitis B vaccine, phytonadione (vitamin K), and antibiotic eye ointment prevent infection, bleeding, and conjunctivitis, respectively. Lidocaine and Hib vaccine are not standard immediate treatments.
Extract:
Client 12 hr postpartum, fundus deviated to right, boggy, 2 cm above umbilicus
Question 3 of 5
A nurse is collecting data from a client who gave birth 12 hours ago. The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: A deviated, boggy fundus suggests a full bladder preventing uterine contraction. Assisting the client to void is the first step to correct this and reduce bleeding risk before considering medications or invasive measures.
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, acrocyanosis, tachypnea with retractions, increased muscle tone, continuous high-pitched cry, slept less than 1 hr, moderate to severe tremors, projectile vomiting, consoled by rocking, lights dimmed
Question 4 of 5
A nurse is assisting in the care of a newborn who is 72 hr old and is receiving treatment for neonatal abstinence syndrome. Which of the following data collection findings should the nurse identify as requiring immediate follow-up?
Correct Answer: B,F,G
Rationale: Gastrointestinal disturbances like projectile vomiting risk dehydration and aspiration, needing urgent care. Oxygen saturation is critical due to tachypnea and retractions indicating respiratory distress. CNS disturbances (tremors, high-pitched cry, increased tone) suggest severe withdrawal, requiring immediate intervention.
Extract:
Newborn for gestational age assessment
Question 5 of 5
A nurse is assisting to collect data for a gestational age assessment on a newborn. Which of the following should the nurse check during a neuromuscular assessment?
Correct Answer: A,B,D,E
Rationale: Heel to ear, popliteal angle, scarf sign, and arm recoil assess joint flexibility and muscle tone for gestational age. Moro reflex evaluates neurological function, not neuromuscular maturity.