ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make?
Correct Answer: A
Rationale: Significant weight loss may be due to inadequate feeding from short or infrequent sessions. Breastfed newborns need 8-12 feedings in 24 hours. Maternal hormone loss isn’t the primary cause, frequent stools are normal, and water supplements can reduce milk intake.
Question 2 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: Drying the newborn’s skin prevents evaporative heat loss by removing amniotic fluid that cools the skin. Preventing drafts reduces convective loss, a warm surface reduces conductive loss, and room temperature addresses radiant loss.
Question 3 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: D
Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend and abduct arms.
Toe stimulation elicits the Babinski reflex, head-turning elicits the tonic neck reflex, and foot contact elicits the stepping reflex.
Question 4 of 5
The nurse is informed that a newborn infant with Apgar scores of 1 and 4 will be brought to the neonatal intensive care unit (NICU). The nurse determines that which intervention is the priority?
Correct Answer: B
Rationale: Low Apgar scores (1 and 4) indicate severe distress, requiring immediate resuscitation. Connecting the resuscitation bag to oxygen ensures oxygenation, the priority over monitoring, warming, or IV preparation.
Question 5 of 5
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Routine hearing screenings (OAE or AABR) are performed before hospital discharge to detect hearing issues early, critical for speech development. Genetic hearing loss is significant, clapping isn’t reliable, and visual cues don’t confirm hearing.