ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Newborn 8 hours old, then 36 hours old, with axillary temp 37.1°C to 36.1°C, heart rate 132 to 160/min, respiratory rate 52 to 78/min.
Question 1 of 5
A nurse is caring for a newborn 8 hours old. Axillary temperature: 37.1°C (96.8°F). Heart rate: 132/min. Respiratory rate: 52/min. At 36 hours of age: Axillary temperature: 36.1°C (97°F). Heart rate: 160/min. Respiratory rate: 78/min. Which of the following assessment findings require follow-up by the nurse?
Correct Answer: B,C,D
Rationale: B: Respiratory rate 78/min is high, suggesting distress. C: Nasal flaring indicates respiratory difficulty. D: Ecchymotic fontanel may indicate trauma, needing evaluation.
Extract:
Infant with suspected necrotizing enterocolitis (NEC).
Question 2 of 5
Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system. Which findings would cause the nurse to suspect NEC?
Correct Answer: C
Rationale: Abdominal distention, temperature instability, and bloody stools are classic NEC symptoms.
Extract:
Postpartum client who delivered vaginally, saturated 6 perineal pads with bright red blood and small clots in one hour.
Question 3 of 5
A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is:
Correct Answer: A
Rationale: A macrosomic baby causes uterine overstretching, increasing the risk of postpartum hemorrhage.
Extract:
Question 4 of 5
The RN has received a hand-off report. Which client does the RN need to see first?
Correct Answer: B
Rationale: Postpartum hemorrhage is life-threatening and requires immediate assessment to ensure stability.
Extract:
Postpartum client who had a cesarean section 4 days ago.
Question 5 of 5
The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?
Correct Answer: A,B,C,D
Rationale: A: Red, tender breast suggests mastitis. B: Fever (100.8°F) may indicate infection. C: Burning on urination suggests UTI. D: Increased lochia rubra may indicate hemorrhage.