ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Newborn immediately following a scheduled cesarean delivery.
Question 1 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory distress is the priority due to the increased risk of transient tachypnea or other respiratory issues in cesarean deliveries, requiring immediate assessment.
Extract:
Newborn, 4 hours old, 41 weeks, 4423 gm, vacuum-assisted birth, 45-second shoulder dystocia, maternal marijuana use, large caput succedaneum, asymmetrical Moro reflex.
Question 2 of 5
A nurse is caring for a newborn who is 4 hours old in the newborn unit. Complete the following sentence by using the list of options: The newborn most likely has ___ as evidenced by ___.
Correct Answer: A
Rationale: Asymmetrical Moro reflex suggests brachial plexus injury, common in shoulder dystocia and vacuum-assisted births.
Extract:
Newly licensed nurses learning about preventing TORCH infections.
Question 3 of 5
A nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which statement by the nurse indicates understanding of the teaching?
Correct Answer: B
Rationale: Avoiding cat litter prevents toxoplasmosis, a TORCH infection that can cause severe fetal harm.
Extract:
Client at 6 weeks gestation requesting to hear fetal heartbeat.
Question 4 of 5
A client, at 6 weeks gestation, arrives at the OB clinic for her initial visit and requests to hear the fetal heartbeat. What should the nurse include in the teaching regarding cardiac development?
Correct Answer: B
Rationale: The fetal heartbeat is detectable by external Doppler around 10-12 weeks, when it is strong enough for detection.
Extract:
A newborn client with a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
Question 5 of 5
A nurse is caring for a newborn client. The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea. What condition does the nurse suspect?
Correct Answer: B
Rationale: Neonatal abstinence syndrome is indicated by symptoms such as high-pitched crying, increased muscle tone, yawning, poor feeding with vomiting, and tachypnea, which are consistent with drug withdrawal in newborns exposed to opiates in utero.