ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Term newborn following cesarean birth, slightly yellow skin
Question 1 of 5
A nurse is admitting a term newborn to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: A
Rationale: Yellow skin within 24 hours suggests pathologic jaundice, often from blood group incompatibility causing hemolysis and bilirubin rise. Vitamin K deficiency causes bleeding, cocaine abuse unrelated to jaundice, and physiologic jaundice appears later.
Extract:
Patient diagnosed with iron deficiency
Question 2 of 5
A patient diagnosed with Iron deficiency has been instructed to eat iron-rich food, what statement indicates understanding by the patient?
Correct Answer: A
Rationale: Leafy green vegetables are rich in iron, aiding hemoglobin production for iron deficiency anemia. Calcium can inhibit iron absorption, prune juice has minimal iron and may reduce absorption, and raw sushi poses infection risks without significant iron benefits.
Extract:
Question 3 of 5
Which of the following are contraindications for VBAC?
Correct Answer: C,E
Rationale: Maternal obesity and macrosomic fetus are relative contraindications for VBAC, increasing risks like uterine rupture or failure. Prior vaginal delivery and one prior cesarean are favorable, and 42 weeks gestation is not a direct contraindication.
Question 4 of 5
What are signs of hypoglycemia in a newborn? Select all that apply.
Correct Answer: A,B,E
Rationale: Tremors, lethargy, and weak cry are signs of hypoglycemia due to low energy affecting muscles, alertness, and vocalization. Hunger may reduce appetite in newborns, and jaundice is unrelated to glucose levels.
Question 5 of 5
What is the most significant risk factor for clubfoot?
Correct Answer: A
Rationale: Maternal smoking during pregnancy is strongly associated with clubfoot, likely affecting fetal muscle and tendon development. Trauma, hypertension, and decreased circulation lack evidence as significant risk factors for this congenital condition.