ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Mother delivered vaginally 2 hr ago, axillary temperature 36.6°C (98.0°F), heart rate 110/min, respiratory rate 24/min, oxygen saturation 94%.
Question 1 of 5
A nurse is caring for a mother who delivered vaginally 2 hr ago. Axillary temperature 36.6°C (98.0°F). Heart rate 110/min. Respiratory rate 24/min. Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.
Correct Answer: A,B,C,D
Rationale: A: Elevated respiratory rate needs assessment. B: Hemoglobin monitors blood loss. C: Heart rate 110/min indicates tachycardia. D: Constant bleeding suggests hemorrhage.
Extract:
Newborn exhibiting diaphoresis, jitteriness, and lethargy.
Question 2 of 5
A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Diaphoresis, jitteriness, and lethargy suggest hypoglycemia, requiring a blood glucose check.
Extract:
Infant born at 40 weeks gestation.
Question 3 of 5
A nurse is caring for an infant born at 40 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Full-term infants at 40 weeks have increased subcutaneous fat for temperature regulation.
Extract:
Newborn 8 hours of age.
Question 4 of 5
A nurse is caring for a newborn 8 hours of age. Which of the following assessment findings require follow-up by the nurse?
Correct Answer: A,B,D
Rationale: A: Large ecchymotic caput may indicate complications. B: Jaundice requires monitoring. D: High respiratory rate suggests distress.
Extract:
Client receiving newborn care teaching.
Question 5 of 5
A nurse is providing teaching about newborn care to a client. Which statement indicates the need for further teaching?
Correct Answer: B
Rationale: Routine rectal temperature checks every 3 hours are unnecessary and invasive, requiring further teaching.