ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Postpartum client.
Question 1 of 5
A nurse is assessing a client postpartum. Which of the following findings should alert the nurse to the client's need to urinate?
Correct Answer: B
Rationale: A fundus three fingerbreadths above the umbilicus suggests a full bladder, impeding uterine contraction.
Extract:
Newborn delivered via cesarean, 4337 grams, full-term, Apgar 8/9, under observation for jaundice and poor feeding, jittery, lethargic, poor suck, jaundice, loose stool, bilirubin 15 mg/dL, glucose 45 mg/dL.
Question 2 of 5
A nurse is caring for a newborn in the neonatal unit. The newborn was delivered via cesarean birth approximately 1 hour ago. Complete the diagram by specifying: 1. What condition the newborn is most likely experiencing. 2. Two actions the nurse should take to address that condition. 3. Two parameters the nurse should monitor to assess the newborn's progress.
Correct Answer: A
Rationale: Neonatal jaundice is indicated by elevated bilirubin and yellow skin. Phototherapy and frequent feeding reduce bilirubin, while monitoring bilirubin and glucose tracks progress.
Extract:
Small for gestational age (SGA) newborn.
Question 3 of 5
When planning the care for a small for gestational age (SGA) newborn, which assessment should the nurse prioritize?
Correct Answer: B
Rationale: SGA newborns are at high risk for hypoglycemia due to low glycogen stores, requiring priority assessment.
Extract:
Newborn 8 hours old, then 36 hours old, with axillary temp 37.1°C to 36.1°C, heart rate 132 to 160/min, respiratory rate 52 to 78/min.
Question 4 of 5
A nurse is caring for a newborn 8 hours old. Axillary temperature: 37.1°C (96.8°F). Heart rate: 132/min. Respiratory rate: 52/min. At 36 hours of age: Axillary temperature: 36.1°C (97°F). Heart rate: 160/min. Respiratory rate: 78/min. Which of the following assessment findings require follow-up by the nurse?
Correct Answer: B,C,D
Rationale: B: Respiratory rate 78/min is high, suggesting distress. C: Nasal flaring indicates respiratory difficulty. D: Ecchymotic fontanel may indicate trauma, needing evaluation.
Extract:
Mother delivered vaginally 2 hr ago, heart rate 106/min, axillary temperature 36.6°C (98.0°F), respiratory rate 22/min, oxygen saturation 94%.
Question 5 of 5
A nurse is caring for a mother who delivered vaginally 2 hr ago. Heart rate 106/min. Axillary temperature 36.6°C (98.0°F). Respiratory rate 22/min. Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.
Correct Answer: A,B,C,D
Rationale: A: Respiratory issues need evaluation. B: Hemoglobin indicates blood loss. C: Heart rate 106/min suggests tachycardia. D: Constant bleeding indicates hemorrhage.