ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn at 42 weeks gestation
Question 1 of 5
A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Post-term newborns often have dry, cracked skin due to prolonged amniotic fluid exposure. Scant hair and copious vernix are preterm traits, and subcutaneous fat may decrease due to placental insufficiency.
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, 39 weeks gestation, maternal opioid use, no prenatal care, maternal and newborn positive opioid drug screen
Question 2 of 5
A nurse is assisting in the care of a newborn who is 72 hours 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,D,F,G
Rationale: Gastrointestinal disturbances can cause dehydration and poor weight gain, needing urgent care. A high NAS score indicates severe withdrawal requiring immediate management. Oxygen saturation and respiratory rate are critical due to potential respiratory distress. CNS disturbances like tremors or seizures signal neurological risk needing prompt intervention.
Extract:
Question 3 of 5
What causes congenital hip dysplasia?
Correct Answer: B
Rationale: The cause of congenital hip dysplasia is unknown, though genetic and environmental factors (e.g., breech position) contribute. Drugs, alcohol, or nursing school are unrelated.
Extract:
Client at 24 weeks gestation
Question 4 of 5
A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?
Correct Answer: B
Rationale: Racquetball is high-impact and risks injury or premature labor due to sudden movements and fall risks, indicating a need for further teaching. Swimming, stationary cycling, and yoga (with precautions) are safe and beneficial during pregnancy.
Extract:
Client at 36 weeks gestation with suspected placenta previa
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to the placenta covering the cervix. Painful bleeding or increasing fundal height suggest other conditions like abruptio placentae or uterine rupture.