ATI RN
ATI Maternity Nur230 Questions
Extract:
Child who has Kawasaki disease
Question 1 of 5
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
Correct Answer: D
Rationale: Kawasaki disease primarily affects the cardiovascular system, causing vasculitis and potential heart complications, requiring close monitoring.
Extract:
Newborn suspected of having neonatal abstinence syndrome
Question 2 of 5
A nurse is providing care for a newborn suspected of having neonatal abstinence syndrome. Which symptom would support this diagnosis?
Correct Answer: C
Rationale: A continuous high-pitched cry is a hallmark of neonatal abstinence syndrome, indicating withdrawal from prenatal drug exposure.
Extract:
Patient in labor who has received epidural anesthesia
Question 3 of 5
A nurse is monitoring a patient in labor who has received epidural anesthesia for pain management. What should the nurse recognize as a potential complication from the epidural block?
Correct Answer: C
Rationale: Epidural anesthesia can cause vasodilation, leading to hypotension, a common complication requiring monitoring.
Extract:
Newborn with an apical heart rate of 130/min
Question 4 of 5
A nurse is caring for a newborn and hears an apical heart rate of 130/min. What should the nurse do next?
Correct Answer: A
Rationale: A heart rate of 130/min is within the normal range (120-160 bpm) for a newborn, requiring only documentation.
Extract:
Newborn born at 32 weeks of gestation with birth weight of 1,100 g
Question 5 of 5
A nurse is assisting with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100 g. What are the expected findings in this newborn? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Preterm newborns at 32 weeks often have long nails, weak grasp reflex due to immature nervous systems, and lanugo due to incomplete shedding.