ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Postpartum client
Question 1 of 5
A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as a possible indicator of inhibition of parental attachment?
Correct Answer: C
Rationale: Expressing dissatisfaction with the newborn's appearance, such as wishing for more hair, may indicate difficulty accepting the baby, suggesting inhibition of attachment. Confidence in caregiving, requesting rest, or noting family resemblance are not typically signs of attachment issues.
Extract:
Question 2 of 5
What is the most significant risk factor for clubfoot?
Correct Answer: A
Rationale: Maternal smoking during pregnancy is strongly associated with clubfoot, likely affecting fetal muscle and tendon development. Trauma, hypertension, and decreased circulation lack evidence as significant risk factors for this congenital condition.
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, acrocyanosis, tachypnea with retractions, increased muscle tone, continuous high-pitched cry, slept less than 1 hr, moderate to severe tremors, projectile vomiting, consoled by rocking, lights dimmed
Question 3 of 5
A nurse is assisting in the care of a newborn who is 72 hr old and is receiving treatment for neonatal abstinence syndrome. Which of the following data collection findings should the nurse identify as requiring immediate follow-up?
Correct Answer: B,F,G
Rationale: Gastrointestinal disturbances like projectile vomiting risk dehydration and aspiration, needing urgent care. Oxygen saturation is critical due to tachypnea and retractions indicating respiratory distress. CNS disturbances (tremors, high-pitched cry, increased tone) suggest severe withdrawal, requiring immediate intervention.
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, 39 weeks gestation, maternal opioid use, no prenatal care, maternal and newborn positive opioid drug screen
Question 4 of 5
A nurse is assisting in the care of a newborn who is 72 hours old and is receiving treatment for neonatal abstinence syndrome. Which of the following data collection findings should the nurse identify as requiring immediate follow-up?
Correct Answer: B,D,F,G
Rationale: Gastrointestinal disturbances can cause dehydration and poor weight gain, needing urgent care. A high NAS score indicates severe withdrawal requiring immediate management. Oxygen saturation and respiratory rate are critical due to potential respiratory distress. CNS disturbances like tremors or seizures signal neurological risk needing prompt intervention.
Extract:
Question 5 of 5
A newborn is most interested in eating in which wake and sleep state?
Correct Answer: D
Rationale: The alert state is optimal for feeding as the newborn is awake, calm, and attentive, showing hunger cues like rooting. Drowsy or crying states hinder effective feeding, and active alert may lead to distractions.