ATI RN
ATI Custom Maternity Newborncare Questions
Extract:
Newborn with apical pulse of 130/min
Question 1 of 5
A nurse is collecting data from a newborn and finds an apical pulse of 130/min. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An apical pulse of 130/min is within the normal newborn range (110-160 bpm), requiring only documentation.
Extract:
Newborn 2 hours old breastfeeding
Question 2 of 5
A mother who is holding her 2-hour-old newborn says, 'I don't think she likes breastfeeding, but last time, when we were in the delivery room, she did really well.' Which is the nurse's best response?
Correct Answer: B
Rationale: Assisting with latching addresses breastfeeding difficulties directly, promoting effective feeding.
Extract:
Newborn 4 hours old with lab results
Question 3 of 5
A nurse is reviewing the laboratory results of a newborn that is 4 hr old. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: A bilirubin of 18 mg/dL at 4 hours indicates severe hyperbilirubinemia, risking brain damage if untreated.
Extract:
Post-term newborn immediately following delivery
Question 4 of 5
A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? Select all that apply.
Correct Answer: A
Rationale: The Moro reflex is present in post-term newborns, but vernix, lanugo, and flexibility are reduced due to prolonged gestation.
Extract:
Newborn being assessed for reflexes
Question 5 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: A
Rationale: A sharp hand clap triggers the Moro reflex, causing arm extension and flexion, assessing neurological health.