ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who is postpartum
Question 1 of 5
A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will 'come in.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Mature breast milk typically transitions from colostrum around 3 to 5 days postpartum, supporting newborn nutrition.
Extract:
Newborn 1 minute after delivery with slow, weak cry, some flexion of extremities, grimace to suctioning, pink body, blue extremities
Question 2 of 5
A nurse is caring for a newborn and calculating the Apgar score at 1 minute after delivery, the following findings are noted: Slow, weak cry, Some flexion of extremities, Grimace in response to suctioning at the nares, Body pink in color, Blue extremities. Calculate the newborn's Apgar score.
Correct Answer: 5
Rationale: Apgar score: Heart rate (1, slow), respiratory effort (1, weak cry), muscle tone (1, some flexion), reflex irritability (1, grimace), color (1, acrocyanosis) totals 5.
Extract:
Client at 40 weeks of gestation in labor with external fetal monitoring
Question 3 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations suggest uteroplacental insufficiency; placing the client in the lateral position first improves blood flow to the fetus, addressing potential hypoxia.
Extract:
Client who just delivered a newborn
Question 4 of 5
A nurse is caring for a client who just delivered a newborn. Following the delivery, the mother asks, 'How will I know to care for the newborn?'
Correct Answer: A
Rationale: Drying and covering the newborn prevents heat loss, a critical immediate care step post-delivery.
Extract:
New mother with 2-day-old newborn
Question 5 of 5
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks 'How will I know if my baby gets enough breast milk?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Six to eight wet diapers daily indicate adequate breast milk intake, reflecting proper hydration and nutrition.