ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn immediately following birth
Question 1 of 5
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Correct Answer: D
Rationale: Drying the newborn's skin helps prevent heat loss through evaporation, which is crucial for maintaining the newborn's body temperature and preventing hypothermia.
Extract:
Newborn who is 4 hr old. Large ecchymotic caput succedaneum noted on occiput with molding of the skull. Anterior fontanel level and soft. Newborn's respirations are shallow and irregular. Newborn's skin color is consistent with their genetic background. Acrocyanosis noted. The newborn is active and moves all extremities except for left arm. Left arm remains at side during Moro reflex
Question 2 of 5
The newborn most likely has as evidenced by
Correct Answer: A
Rationale: The lack of movement in the left arm during the Moro reflex suggests a possible clavicle fracture, which can occur during birth, especially with difficult deliveries.
Extract:
Newborn who is 30 min old. Newborn placed on the birth parent's abdomen immediately following birth. Mouth and nose suctioned with bulb syringe. Dried and stimulated. Strong cry noted. Moving all extremities. Flexed tone noted. Acrocyanosis present. Newborn is alert and active. Respirations rapid and shallow with occasional expiratory grunting, Fine crackles auscultated throughout lung fields. Small amount of green-stained vernix present in skin folds. Fingernails stained green. Molding of skull and generalized soft occipital swelling noted. Vital Signs: Axillary temperature 36.9° C (98.4° F), Heart rate 170/min, Respiratory rate 72/min, Birth weight 4,025 gm (8 lb 14 oz) (Appropriate for Gestational Age), Axillary temperature 36.7° C (97.8° F), Heart rate 162/min, Respiratory rate 80/min
Question 3 of 5
After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: MAS typically occurs when a baby experiences stress before or during birth, leading them to pass stool (meconium) into the amniotic fluid. The baby may then inhale this mixture into their lungs, obstructing airways and causing breathing problems.
Extract:
Clients in an antepartum unit
Question 4 of 5
A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: Painless vaginal bleeding in the third trimester could be a sign of placenta previa or placental abruption, both of which are serious conditions requiring immediate medical attention.
Extract:
A client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg
Question 5 of 5
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The likely cause of postpartum hypotension is PPH. Assessing the client should be the first step before initiating management.