ATI RN
ATI Custom Maternity Final 23D Questions
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 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 issues post-ventilation, hypoglycemia risk from abruptio placenta, potential anemia (hematocrit, hemoglobin), and heart rate abnormalities from fetal distress require reporting.
Extract:
Question 2 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.
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 3 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:
Newborn immediately following birth
Question 4 of 5
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse expect to administer?
Correct Answer: B,C,D
Rationale: Hepatitis B vaccine, phytonadione (vitamin K), and antibiotic eye ointment prevent infection, bleeding, and conjunctivitis, respectively. Lidocaine and Hib vaccine are not standard immediate treatments.
Extract:
Newborn 1 hr following birth, placed on radiant warmer, pink with acrocyanosis, mild grunting, nasal flaring, intermittent retractions
Question 5 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.