ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Newborn 1 minute after delivery with slow, weak cry, some flexion of extremities, grimace to suctioning, pink body, blue extremities
Question 1 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 who has just delivered her first newborn with anticipated hyperbilirubinemia due to Rh incompatibility
Question 2 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: A
Rationale: Rh-negative maternal antibodies attack Rh-positive fetal red blood cells, causing hemolysis and hyperbilirubinemia.
Extract:
Newborn immediately following a scheduled cesarean delivery
Question 3 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory distress is the priority assessment post-cesarean to ensure adequate newborn oxygenation.
Extract:
Client at 40 weeks of gestation in labor with fetus small for gestational age (SGA)
Question 4 of 5
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at risk for meconium aspiration syndrome due to intrauterine stress, requiring monitoring of respiratory secretions.
Extract:
Antepartum client with negative rubella titer
Question 5 of 5
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following indicates the correct interpretation of this data?
Correct Answer: B
Rationale: A negative rubella titer indicates no immunity, requiring post-delivery immunization to protect future pregnancies.