Questions 58

ATI RN

ATI RN Test Bank

ATI Custom Maternity Final 23D Questions

Extract:

Newborn


Question 1 of 5

A nurse is collecting data about reflexes from a newborn. Which of the following actions should the nurse take to elicit the newborn's Moro reflex?

Correct Answer: C

Rationale: A sharp hand clap elicits the Moro reflex, causing arm extension and crying due to a startle response. Other actions trigger stepping, tonic neck, or Babinski reflexes.

Extract:

Client 2 hr post vaginal birth


Question 2 of 5

A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take?

Correct Answer: A,B,D

Rationale: Documenting fundal height, observing lochia, and checking fundal position monitor uterine involution and bleeding risk. Massaging a firm fundus is unnecessary, and terbutaline is inappropriate for a boggy fundus.

Extract:

Newborn with transient tachypnea (TTN)


Question 3 of 5

A nurse is explaining TTN to the newborn's mother. Which statement indicates that the mother understands the teaching?

Correct Answer: B

Rationale: TTN is linked to cesarean births due to delayed lung fluid clearance, resolving in days. NICU stays are short, breastfeeding is possible unless severe, and oxygen therapy at home is rare.

Extract:

Client 12 hr postpartum, in dependent, taking-in phase


Question 4 of 5

A nurse is caring for a client who is 12 hours 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: The taking-in phase involves excitement and reflection on birth, with dependency on others. Appetite is typically increased, learning newborn care occurs in the taking-hold phase, and family focus is later.

Extract:

Newborn for PKU testing


Question 5 of 5

A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn. Which of the following statements by the parent indicates a need for further teaching?

Correct Answer: A

Rationale: Special lights treat jaundice, not PKU, indicating a need for further teaching. PKU is managed by diet, may require repeat testing, and should be tested after fasting, not feeding.

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