ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Mother delivered vaginally 2 hr ago, 38 weeks gestation, 9-pound 8-ounce baby girl.
Question 1 of 5
A nurse is caring for a mother who delivered vaginally 2 hr ago. 38 week gestation. Vaginal delivery of a 9-pound 8-ounce baby girl. Select the 4 findings the nurse should report to the provider.
Correct Answer: A,B,C,D
Rationale: A: Respiratory issues need monitoring. B: Hemoglobin assesses blood loss. C: Elevated heart rate may indicate complications. D: Constant bleeding suggests hemorrhage.
Extract:
Postpartum client.
Question 2 of 5
A nurse is assessing a client postpartum. Which of the following findings should alert the nurse to the client's need to urinate?
Correct Answer: B
Rationale: A fundus three fingerbreadths above the umbilicus suggests a full bladder, impeding uterine contraction.
Extract:
Newborn who is 56 hours old, vital signs: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%.
Question 3 of 5
A nurse is caring for a newborn who is 56 hours old. Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
Correct Answer: F
Rationale: Elevated heart rate, respiratory rate, and low temperature align with Neonatal Abstinence Syndrome (NAS) symptoms.
Extract:
Mother delivered vaginally 2 hours ago, hemoglobin 9 g/dL, hematocrit 30%, platelets 220,000/mm³, WBC 12,000/mm³, temperature 38.3°C (100.9°F).
Question 4 of 5
A nurse is caring for a mother who delivered vaginally 2 hours ago. Hemoglobin: 9 g/dL (11 to 14 g/dL). Hematocrit: 30% (36 to 43%). Platelets: 220,000/mm³ (150,000 to 400,000/mm³). WBC count: 12,000/mm³ (4,000 to 15,000/mm³). Temperature: 38.3°C (100.9°F). Select the 4 findings the nurse should report to the provider.
Correct Answer: B,D
Rationale: B: Low hemoglobin (9 g/dL) suggests anemia or hemorrhage. D: Constant vaginal bleeding indicates potential postpartum hemorrhage. A and C require specific abnormal data to report.
Extract:
Mother who refused phytonadione (Mephyton) injection for her newborn.
Question 5 of 5
A mother refused to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan. Which of the following signs or symptoms might the nurse observe in the baby as a result?
Correct Answer: D
Rationale: Phytonadione (vitamin K) deficiency can cause bleeding issues, like oozing at the circumcision site.