ATI RN
ATI Maternal Newborn Care Exam 4A Questions
Extract:
The client's intake included 1,000 ml 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream.
Question 1 of 5
A nurse is calculating a client's intake and output for an 8-hr shift. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: A
Rationale:
Total intake is calculated as: 1000 mL (IV) + 177 mL (6 oz coffee) + 177 mL (6 oz water) + 180 mL (soup) + 89 mL (3 oz gelatin) + 89 mL (3 oz ice cream) = 1712 mL.
Extract:
Following the delivery of a newborn.
Question 2 of 5
Following the delivery of a newborn, which nursing intervention should be carried out immediately?
Correct Answer: B
Rationale: Warming the infant immediately after delivery prevents hypothermia, a critical risk for newborns.
Extract:
Six to twelve hours after the vaginal delivery of a single infant and placenta.
Question 3 of 5
Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of
Correct Answer: C
Rationale: The fundus is typically at or below the umbilicus 6-12 hours post-delivery as part of normal uterine involution.
Extract:
A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum.
Question 4 of 5
Which of the following suggestions should the nurse make? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Carrying in a pack, swaddling, and car rides provide comfort and security, soothing the newborn. Allowing prolonged crying or placing in a large crib does not promote calming.
Extract:
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration.
Question 5 of 5
Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?
Correct Answer: B
Rationale: The number of wet diapers (at least 6 per day) is a reliable indicator of adequate hydration in newborns.