ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Woman contemplating pregnancy
Question 1 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid reduces neural tube defect risk by supporting early neural tube formation in the fetus.
Extract:
Newborn 1 minute after delivery with slow, weak cry, some flexion of extremities, grimace to suctioning, pink body, blue extremities
Question 2 of 5
A nurse is caring for a newborn and calculating the Apgar score at 1 minute after delivery, the following findings are noted: Slow, weak cry, Some flexion of extremities, Grimace in response to suctioning at the nares, Body pink in color, Blue extremities. Calculate the newborn's Apgar score.
Correct Answer: 5
Rationale: Apgar score: Heart rate (1, slow), respiratory effort (1, weak cry), muscle tone (1, some flexion), reflex irritability (1, grimace), color (1, acrocyanosis) totals 5.
Extract:
Newborn's parent
Question 3 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, promoting healing and preventing infection, unlike petroleum jelly or covering with a diaper, which can retain moisture.
Extract:
Client at 30 weeks of gestation in preterm labor
Question 4 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: D
Rationale: Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
Client at 28 weeks of gestation with history of one elective abortion at 9 weeks, twins at 36 weeks, and spontaneous abortion at 15 weeks
Question 5 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks: the birth of twins at 36 weeks and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's pregnancy history?
Correct Answer: C
Rationale: GTPAL: 4 pregnancies (G), 0 term births (T), 1 preterm birth (P, twins at 36 weeks), 2 abortions (
A), 2 living children (L) accurately reflects the history.