ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, 39 weeks gestation, maternal opioid use, no prenatal care, maternal and newborn positive opioid drug screen
Question 1 of 5
A nurse is assisting in the care of a newborn who is 72 hours 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,D,F,G
Rationale: Gastrointestinal disturbances can cause dehydration and poor weight gain, needing urgent care. A high NAS score indicates severe withdrawal requiring immediate management. Oxygen saturation and respiratory rate are critical due to potential respiratory distress. CNS disturbances like tremors or seizures signal neurological risk needing prompt intervention.
Extract:
Question 2 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:
Client at 24 weeks gestation
Question 3 of 5
A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?
Correct Answer: B
Rationale: Racquetball is high-impact and risks injury or premature labor due to sudden movements and fall risks, indicating a need for further teaching. Swimming, stationary cycling, and yoga (with precautions) are safe and beneficial during pregnancy.
Extract:
Postpartum client, vaginal birth, newborn weighing 4252 g
Question 4 of 5
A nurse is caring for a postpartum client following a vaginal birth of a newborn weighing 4252 g (9 lb 6 oz). The nurse should identify that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: A large newborn (macrosomia) increases the risk of uterine atony due to overdistension, which can prevent proper uterine contraction and lead to hemorrhage. Other complications are possible but less directly linked to newborn size.
Extract:
Question 5 of 5
What are the risk factors for neonatal sepsis? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Preterm birth increases sepsis risk due to immature immunity. Precipitous delivery can cause fetal distress, heightening infection susceptibility. Frequent vaginal exams introduce bacteria, and maternal GBS infection is a major cause of early-onset sepsis.