ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Newborn with apical heart rate of 130/min
Question 1 of 5
A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A heart rate of 130/min is within the normal range for a newborn (120-160 bpm), requiring no further action.
Extract:
Infant heelstick procedure
Question 2 of 5
The most serious complication of an infant heelstick is necrotizing osteochondritis resulting from lancet penetration of the bone. What approach should the nurse take when performing the test to prevent this complication?
Correct Answer: B
Rationale: The outer heel is safer, avoiding bone penetration and reducing the risk of necrotizing osteochondritis.
Extract:
New mother with infant showing blue hands and feet
Question 3 of 5
A new mother states that her infant must be cold because the baby's hands and feet are blue. This common and temporary condition is called what?
Correct Answer: D
Rationale: Acrocyanosis is a benign, temporary condition causing blue hands and feet due to immature peripheral circulation.
Extract:
Client is postpartum with first breastfeeding experience
Question 4 of 5
A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?
Correct Answer: A
Rationale: A proper latch includes the nipple and part of the areola to ensure effective breastfeeding and prevent nipple trauma.
Extract:
Client is 6 hours postpartum requesting nurse to feed newborn
Question 5 of 5
A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: Offering support and guidance encourages the mother's confidence while addressing her hesitation empathetically.