ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, acrocyanosis, tachypnea with retractions, increased muscle tone, continuous high-pitched cry, slept less than 1 hr, moderate to severe tremors, projectile vomiting, consoled by rocking, lights dimmed
Question 1 of 5
A nurse is assisting in the care of a newborn who is 72 hr 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,F,G
Rationale: Gastrointestinal disturbances like projectile vomiting risk dehydration and aspiration, needing urgent care. Oxygen saturation is critical due to tachypnea and retractions indicating respiratory distress. CNS disturbances (tremors, high-pitched cry, increased tone) suggest severe withdrawal, requiring immediate intervention.
Extract:
Newborn 1 hr following birth, 39 weeks gestation, Apgar 5 at 1 min, 8 at 5 min, emergency cesarean for abruptio placenta, non-reassuring fetal heart rate, positive pressure ventilation for 1 min, free flow oxygen
Question 2 of 5
A nurse is assisting with the care of a newborn 1 hr following birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: B,C,D,F,G
Rationale: Respiratory issues post-ventilation, hypoglycemia risk from abruptio placenta, potential anemia (hematocrit, hemoglobin), and heart rate abnormalities from fetal distress require reporting.
Extract:
Question 3 of 5
What is perinatal injury?
Correct Answer: D
Rationale: Perinatal injury occurs around birth, affecting the newborn due to labor forces or interventions, like fractures or nerve damage. Perineal, maternal, or fetal injuries are distinct categories.
Extract:
Postpartum client
Question 4 of 5
A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as a possible indicator of inhibition of parental attachment?
Correct Answer: C
Rationale: Expressing dissatisfaction with the newborn's appearance, such as wishing for more hair, may indicate difficulty accepting the baby, suggesting inhibition of attachment. Confidence in caregiving, requesting rest, or noting family resemblance are not typically signs of attachment issues.
Extract:
Breastfed newborn diagnosed with galactosemia
Question 5 of 5
A breastfed newborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:
Correct Answer: A
Rationale: Galactosemia requires stopping breastfeeding to avoid galactose accumulation, which can cause liver damage and other issues. Other options do not address the metabolic defect or worsen the condition.