ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn 1 hr following birth, hemoglobin 9 g/dL, hematocrit 35%, platelet count 210,000/mm², WBC 9,500/mm³, serum glucose 130 mg/dL
Question 1 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: C,D,F
Rationale: Low hemoglobin (9 g/dL) and hematocrit (35%) indicate anemia, risking hypoxia. High serum glucose (130 mg/dL) suggests hyperglycemia, potentially harmful. Temperature, respiratory findings, WBC, and heart rate lack abnormal data here.
Extract:
Newborn following delivery
Question 2 of 5
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery. The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: C
Rationale: Vitamin K prevents bleeding (hemorrhagic disease of the newborn) by aiding clotting factor synthesis, as newborns have low vitamin K levels. It does not prevent infection, hyperbilirubinemia, or potassium deficiency.
Extract:
Postpartum client, vaginal birth, newborn weighing 4252 g
Question 3 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:
Drug-exposed newborn
Question 4 of 5
When observing a drug-exposed newborn, what symptom suggests that the newborn may be exhibiting withdrawal symptoms?
Correct Answer: C
Rationale: Irritability, such as excessive crying or jitteriness, indicates withdrawal in drug-exposed newborns due to CNS overstimulation. Sleepiness, constipation, or absent reflexes suggest other issues, not withdrawal.
Extract:
Question 5 of 5
Which of these is a characteristic of a preterm infant?
Correct Answer: C
Rationale: Lanugo is a characteristic of preterm infants, as it is fine, downy hair covering the fetus that typically disappears by 36 weeks gestation but remains in preterm infants. Hypertonia, long toenails, and dry skin are more associated with post-term infants.