ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn 1 hr following birth, placed on radiant warmer, pink with acrocyanosis, mild grunting, nasal flaring, intermittent retractions
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: B,C,D,F,G
Rationale: Respiratory distress signs (grunting, flaring, retractions) indicate potential lung or heart issues. Serum glucose, hematocrit, and hemoglobin are critical due to risks like hypoglycemia or anemia. Heart rate abnormalities could signal distress or cardiac issues.
Extract:
Client inquiring about VBAC
Question 2 of 5
A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: The type of uterine incision (e.g., low transverse vs. classical) is critical for VBAC eligibility due to rupture risk. Dismissing the question, deferring entirely, or assuming cesarean safety without evidence is inappropriate.
Extract:
Newborn for gestational age assessment
Question 3 of 5
A nurse is assisting to collect data for a gestational age assessment on a newborn. Which of the following should the nurse check during a neuromuscular assessment?
Correct Answer: A,B,D,E
Rationale: Heel to ear, popliteal angle, scarf sign, and arm recoil assess joint flexibility and muscle tone for gestational age. Moro reflex evaluates neurological function, not neuromuscular maturity.
Extract:
Newborn delivered by vacuum extraction, swelling on head crossing suture line
Question 4 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.
Extract:
Question 5 of 5
What is a sign that a newborn may be at risk for meconium aspiration syndrome?
Correct Answer: C
Rationale: Yellow-green umbilical cord staining indicates meconium in amniotic fluid, a risk for aspiration. Asymmetrical breathing suggests diaphragmatic hernia, preterm birth relates to RDS, and acrocyanosis is normal.