ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Preterm newborn
Question 1 of 5
A nurse is contributing to the plan of care for a preterm newborn. To help the newborn conserve energy, which of the following actions should the nurse recommend?
Correct Answer: B
Rationale: Clustering care activities minimizes handling, allowing longer rest periods to conserve energy in preterm newborns. Massage, frequent position changes, and restraints increase energy expenditure or risk discomfort.
Extract:
Newborn undergoing phototherapy
Question 2 of 5
A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Frequent breastfeeding promotes hydration and bilirubin excretion during phototherapy. Glucose monitoring is unnecessary, lotion interferes with light efficacy, and prone positioning limits skin exposure.
Extract:
Question 3 of 5
What is perinatal injury?
Correct Answer: D
Rationale: Perinatal injury occurs around birth, affecting the newborn due to labor forces or interventions, like fractures or nerve damage. Perineal, maternal, or fetal injuries are distinct categories.
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 4 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:
Client 2 hr post vaginal birth
Question 5 of 5
A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take?
Correct Answer: A,B,D
Rationale: Documenting fundal height, observing lochia, and checking fundal position monitor uterine involution and bleeding risk. Massaging a firm fundus is unnecessary, and terbutaline is inappropriate for a boggy fundus.