ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Newborn, 4 hours old, 41 weeks, 4423 gm, vacuum-assisted birth, 45-second shoulder dystocia, maternal marijuana use, large caput succedaneum, asymmetrical Moro reflex.
Question 1 of 5
A nurse is caring for a newborn who is 4 hours old in the newborn unit. Complete the following sentence by using the list of options: The newborn most likely has ___ as evidenced by ___.
Correct Answer: A
Rationale: Asymmetrical Moro reflex suggests brachial plexus injury, common in shoulder dystocia and vacuum-assisted births.
Extract:
Client on electronic fetal monitor experiencing tachysystole.
Question 2 of 5
A nurse is caring for a client who is on the electronic fetal monitor and the nurse notices that the client is experiencing tachysystole. Which of the following describes tachysystole?
Correct Answer: C
Rationale: Tachysystole is defined as more than five contractions in 10 minutes, which can reduce fetal blood flow and cause distress.
Extract:
Client 2 hr postpartum, received spinal anesthesia for cesarean birth.
Question 3 of 5
A nurse is assessing a client who is 2 hr postpartum and received spinal anesthesia for a cesarean birth. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: A
Rationale: A respiratory rate of 10/min suggests possible respiratory depression from spinal anesthesia, requiring immediate intervention.
Extract:
32-year-old, Gravida 3 Para 2, 32 weeks gestation, penicillin allergy, 6 lb weight gain, headache, blurred vision, dizziness, 2+ pitting edema, 3+ reflexes, FHT 148/min, BP 179/99, 168/104, 170/101.
Question 4 of 5
A nurse in a provider's office is caring for a 32-year-old female client who is pregnant. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: A,B,C,E
Rationale: Rapid weight gain, visual disturbances, elevated blood pressure, and hyperactive reflexes suggest preeclampsia, requiring provider attention.
Extract:
Newborn with hyperbilirubinemia treated with phototherapy.
Question 5 of 5
A nurse is caring for a newborn with hyperbilirubinemia and is being treated with phototherapy. For each of the following nursing actions, specify if it is indicated or contraindicated with phototherapy treatment.
Correct Answer: B,D,E,F
Rationale: Indicated: Removing for assessment, maintaining eye mask, repositioning, and reporting sunken fontanels ensure safety and monitor for dehydration. Contraindicated: Lotion can interfere with phototherapy, and feedings every 8 hours are too infrequent.