ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Newborn weighs 5,160 g (11 lb, 6 oz), mother has diabetes mellitus.
Question 1 of 5
A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?
Correct Answer: B
Rationale: Newborns of diabetic mothers are at risk for hypoglycemia due to fetal hyperinsulinemia from maternal hyperglycemia, requiring close monitoring.
Extract:
Client who is at 6 weeks of gestation.
Question 2 of 5
A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Quickening refers to the first perception of fetal movements by the mother and typically occurs around 16 to 20 weeks of gestation, which is during the second trimester, aligning with the fourth and fifth months.
Extract:
Client who is in active labor.
Question 3 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse should identify which of the following as a cause of variable decelerations?
Correct Answer: B
Rationale: Umbilical cord compression causes variable decelerations by transiently reducing blood flow to the fetus, leading to drops in fetal heart rate.
Extract:
Newborn weighs 5,160 g (11 lb, 6 oz), mother has diabetes mellitus.
Question 4 of 5
A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?
Correct Answer: B
Rationale: Newborns of diabetic mothers are at risk for hypoglycemia due to fetal hyperinsulinemia from maternal hyperglycemia, requiring close monitoring.
Extract:
Newborn whose mother is positive for hepatitis B surface antigen.
Question 5 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?
Correct Answer: C
Rationale: Administering hepatitis B immune globulin and the vaccine within 12 hours of birth provides passive and active immunity against hepatitis B infection.