ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn
Question 1 of 5
A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically has two arteries and one vein. The vein carries oxygenated blood to the fetus, and the arteries return deoxygenated blood. Other configurations are rare and often associated with anomalies.
Extract:
Term newborn following cesarean birth, slightly yellow skin
Question 2 of 5
A nurse is admitting a term newborn to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: A
Rationale: Yellow skin within 24 hours suggests pathologic jaundice, often from blood group incompatibility causing hemolysis and bilirubin rise. Vitamin K deficiency causes bleeding, cocaine abuse unrelated to jaundice, and physiologic jaundice appears later.
Extract:
Drug-exposed newborn
Question 3 of 5
When observing a drug-exposed newborn, what symptom suggests that the newborn may be exhibiting withdrawal symptoms?
Correct Answer: C
Rationale: Irritability, such as excessive crying or jitteriness, indicates withdrawal in drug-exposed newborns due to CNS overstimulation. Sleepiness, constipation, or absent reflexes suggest other issues, not withdrawal.
Extract:
Question 4 of 5
The purpose of the Bishop's score is to:
Correct Answer: B
Rationale: The Bishop's score assesses cervical readiness for labor via dilation, effacement, station, consistency, and position, predicting induction success. It does not evaluate maternal or fetal well-being or labor progress.
Extract:
Newborn at 42 weeks gestation
Question 5 of 5
A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Post-term newborns often have dry, cracked skin due to prolonged amniotic fluid exposure. Scant hair and copious vernix are preterm traits, and subcutaneous fat may decrease due to placental insufficiency.