ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Postpartum client, vaginal birth, newborn weighing 4252 g
Question 1 of 5
A nurse is caring for a postpartum client following a vaginal birth of a newborn weighing 4252 g (9 lb 6 oz). The nurse should identify that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: A large newborn (macrosomia) increases the risk of uterine atony due to overdistension, which can prevent proper uterine contraction and lead to hemorrhage. Other complications are possible but less directly linked to newborn size.
Extract:
Client inquiring about VBAC
Question 2 of 5
A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: The type of uterine incision (e.g., low transverse vs. classical) is critical for VBAC eligibility due to rupture risk. Dismissing the question, deferring entirely, or assuming cesarean safety without evidence is inappropriate.
Extract:
Question 3 of 5
What should be included in teaching for bottle-feeding parents?
Correct Answer: A,B,C,E
Rationale: Discarding formula prevents bacterial growth, propping risks choking, three formula types exist, and refrigeration preserves prepared bottles. Microwaving creates hot spots, risking burns.
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, acrocyanosis, tachypnea with retractions, increased muscle tone, continuous high-pitched cry, slept less than 1 hr, moderate to severe tremors, projectile vomiting, consoled by rocking, lights dimmed
Question 4 of 5
A nurse is assisting in the care of a newborn who is 72 hr old and is receiving treatment for neonatal abstinence syndrome. Which of the following data collection findings should the nurse identify as requiring immediate follow-up?
Correct Answer: B,F,G
Rationale: Gastrointestinal disturbances like projectile vomiting risk dehydration and aspiration, needing urgent care. Oxygen saturation is critical due to tachypnea and retractions indicating respiratory distress. CNS disturbances (tremors, high-pitched cry, increased tone) suggest severe withdrawal, requiring immediate intervention.
Extract:
Newborn with respiratory distress syndrome experiencing respiratory acidosis
Question 5 of 5
A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?
Correct Answer: A
Rationale: Small for gestational age newborns have immature lungs with less surfactant, increasing the risk of respiratory distress syndrome and acidosis. Maternal asthma, ventricular septal defects, and cesarean birth are not direct risk factors for RDS, though they may cause other complications.