ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
A newborn client with a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
Question 1 of 5
A nurse is caring for a newborn client. The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea. What condition does the nurse suspect?
Correct Answer: B
Rationale: Neonatal abstinence syndrome is indicated by symptoms such as high-pitched crying, increased muscle tone, yawning, poor feeding with vomiting, and tachypnea, which are consistent with drug withdrawal in newborns exposed to opiates in utero.
Extract:
Newborn 1 hour post-birth via emergency cesarean, Apgar 5 at 1 min, 8 at 5 min, positive pressure ventilation, acrocyanosis, mild grunting, nasal flaring, intermittent retractions, restless, hemoglobin 9 g/dL, hematocrit 35%, glucose 38 mg/dL.
Question 2 of 5
A nurse is caring for a newborn 1 hour following birth in the emergency unit. Select the 5 findings the nurse should report to the provider.
Correct Answer: A,B,D,F,G
Rationale: Respiratory distress, low hemoglobin, low glucose, elevated heart rate, and low hematocrit indicate potential complications requiring provider attention.
Extract:
During preconception counseling regarding teratogen effects in first 8 weeks.
Question 3 of 5
During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens. What is occurring during the first 8 weeks of gestation?
Correct Answer: C
Rationale: Organogenesis, the formation of major organs between weeks 3-8, is when the fetus is most vulnerable to teratogens, causing congenital anomalies.
Extract:
Newly licensed nurses learning about preventing TORCH infections.
Question 4 of 5
A nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which statement by the nurse indicates understanding of the teaching?
Correct Answer: B
Rationale: Avoiding cat litter prevents toxoplasmosis, a TORCH infection that can cause severe fetal harm.
Extract:
Client being educated on breastfeeding positions.
Question 5 of 5
A nurse is educating a client on breastfeeding positions. Which of the following should the nurse discuss?
Correct Answer: B
Rationale: The cradle position is effective for breastfeeding, supporting proper latching and comfort.