ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn with respiratory distress syndrome experiencing respiratory acidosis
Question 1 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.
Extract:
Patient diagnosed with iron deficiency
Question 2 of 5
A patient diagnosed with Iron deficiency has been instructed to eat iron-rich food, what statement indicates understanding by the patient?
Correct Answer: A
Rationale: Leafy green vegetables are rich in iron, aiding hemoglobin production for iron deficiency anemia. Calcium can inhibit iron absorption, prune juice has minimal iron and may reduce absorption, and raw sushi poses infection risks without significant iron benefits.
Extract:
Newborn 1 hr after birth, temperature 36.6°C, heart rate 178/min, respiration rate 80/min, oxygen saturation 96%, later heart rate 174/min, respiration rate 84/min, oxygen saturation 97%
Question 3 of 5
A nurse is assisting with the care of a newborn 1 hr after birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: B,G
Rationale: High respiratory rate (80-84/min) and low oxygen saturation (96%) suggest respiratory distress. Elevated heart rate (174-178/min) indicates tachycardia, possibly from stress or hypoxia. Other findings lack abnormal data or specific values.
Extract:
Newborn at 42 weeks gestation
Question 4 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 delivered by vacuum extraction, swelling on head crossing suture line
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: A
Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.