ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A newborn who has signs of diaphoresis, jitteriness, and lethargy.
Question 1 of 5
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: These symptoms suggest hypoglycemia, requiring glucose testing via heel stick for diagnosis and treatment. Other actions are unrelated or harmful.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 2 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: B
Rationale: Hyperinsulinemia from maternal hyperglycemia impairs surfactant synthesis, causing respiratory distress. Anemia, viscosity, and nerve injuries don't directly cause RDS.
Extract:
A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and states that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours.
Question 3 of 5
A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and states that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural. What is the likely status of this woman's labor?
Correct Answer: A
Rationale: Frequent, painful contractions without cervical change indicate hypertonic dysfunction, risking fetal distress, unlike normal latent, precipitous, or hypotonic labor.
Extract:
A client.
Question 4 of 5
A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 30 min. Available is clindamycin 900 mg in 100 mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 200
Rationale: 100 mL over 0.5 hours equals 200 mL/hr, the correct pump setting with no trailing zero.
Extract:
An infant with a fractured clavicle.
Question 5 of 5
What information regarding a fractured clavicle is most important for the nurse to take into consideration when planning the infant's care?
Correct Answer: B
Rationale: Newborn clavicle fractures heal without special treatment, requiring only gentle handling. Prone positioning, casting, or exercises are unnecessary or harmful.