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 with risk factors for bilirubin levels
Question 2 of 5
Which newborn is at the lowest risk for elevated unconjugated bilirubin levels?
Correct Answer: C
Rationale: A 41-week gestation newborn has a mature liver, minimizing bilirubin buildup compared to others with risk factors.
Extract:
Newborn born 1 hr ago at 38 weeks gestation with respiratory distress syndrome
Question 3 of 5
A nurse is assisting in the care of a newborn born 1 hr ago who was delivered at 38 weeks of gestation. Which action should the nurse take first?
Correct Answer: B
Rationale: Reporting respiratory status is urgent in respiratory distress syndrome, guiding immediate interventions.
Extract:
Newborn at 34 weeks gestation, weighs 1,550 g, with nasal flaring, intercostal retractions, expiratory grunting, mild cyanosis
Question 4 of 5
A nurse is caring for a newborn who is at 34 weeks of gestation, weighs 1,550 g, and has nasal flaring, intercostal retractions, expiratory grunting, and mild cyanosis. The nurse should place the newborn in an incubator for which of the following reasons?
Correct Answer: A
Rationale: Premature newborns have immature thermoregulation, making an incubator essential to maintain body temperature and prevent cold stress.
Extract:
Newborn delivered by vacuum extraction with swelling on head
Question 5 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: B
Rationale: Caput succedaneum is swelling from vacuum extraction pressure, crossing suture lines, and resolves quickly, unlike cephalhematoma, which is confined by sutures.