Questions 63

ATI RN

ATI RN Test Bank

ATI Maternal Newborn Exam 4 Questions

Extract:

A term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow right after birth.


Question 1 of 5

A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow right after birth. This finding indicates the newborn is experiencing a complication related to which of the following?

Correct Answer: C

Rationale: Early jaundice suggests blood group incompatibility causing hemolysis, unlike physiological jaundice (after 24 hours) or other unrelated causes.

Extract:

A newborn who has signs of diaphoresis, jitteriness, and lethargy.


Question 2 of 5

A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: These symptoms suggest hypoglycemia, requiring glucose testing via heel stick for diagnosis and treatment. Other actions are unrelated or harmful.

Extract:

A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin.


Question 3 of 5

A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin. The nurse should understand that the purpose of this injection is to prevent which of the following newborn complications?

Correct Answer: A

Rationale: Rh0 (
D) immunoglobulin prevents maternal antibody formation against Rh-positive fetal blood, reducing erythroblastosis fetalis risk in future pregnancies.

Extract:

A client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min.


Question 4 of 5

A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?

Correct Answer: C

Rationale: Cesarean birth is appropriate for placenta previa with heavy bleeding to prevent fetal hypoxia and hemorrhage. Pushing and examination worsen bleeding; magnesium is unrelated.

Extract:

A client who is experiencing preterm labor.


Question 5 of 5

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

Correct Answer: A

Rationale: Respiratory rate is critical due to magnesium sulfate's risk of respiratory depression, a life-threatening complication requiring close monitoring.

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