ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn delivered by vacuum extraction, swelling on head crossing suture line
Question 1 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.
Extract:
Client 2 days postpartum
Question 2 of 5
A nurse is reinforcing discharging teaching with a client who is 2 days postpartum. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Breastfed newborns typically have 2-3 soft stools daily. Formula-fed babies stool daily, not every 3 days. Feeding should be on demand (8-12 times/day for breastfeeding), not on strict schedules.
Extract:
Newborn small for gestational age
Question 3 of 5
A nurse is reinforcing teaching with the mother of a newborn who is small for gestational age. Which of the following should the nurse include as a cause of this condition?
Correct Answer: A
Rationale: Placental insufficiency restricts nutrient and oxygen delivery, causing SGA. Primipara slightly increases low birth weight risk, obesity links to LGA, and asphyxia is a complication, not a cause.
Extract:
Newborn 1 hr following birth, hemoglobin 9 g/dL, hematocrit 35%, platelet count 210,000/mm², WBC 9,500/mm³, serum glucose 130 mg/dL
Question 4 of 5
A nurse is assisting with the care of a newborn 1 hr following birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: C,D,F
Rationale: Low hemoglobin (9 g/dL) and hematocrit (35%) indicate anemia, risking hypoxia. High serum glucose (130 mg/dL) suggests hyperglycemia, potentially harmful. Temperature, respiratory findings, WBC, and heart rate lack abnormal data here.
Extract:
Client 12 hr postpartum, in dependent, taking-in phase
Question 5 of 5
A nurse is collecting data from a client who is 12 hr postpartum. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?
Correct Answer: A
Rationale: In the taking-in phase, mothers often express excitement and focus on their labor experience, being passive and dependent. Appetite is typically increased, learning newborn care comes later in the taking-hold phase, and family focus occurs in the letting-go phase.