ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client at 29 weeks of gestation with phenylketonuria.
Question 1 of 5
A nurse is providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include?
Correct Answer: B
Rationale: Apples are low in phenylalanine, making them a safe option for individuals with phenylketonuria. They provide essential nutrients without contributing to phenylalanine accumulation.
Extract:
Client being admitted for induction of labor.
Question 2 of 5
A nurse is providing teaching about newborn safety to a client who is being admitted for induction of labor. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: Checking the identification badge ensures the individual removing the baby is authorized, reducing the risk of abduction. This is a recommended safety practice in hospital settings to protect newborns.
Extract:
Newborn born vaginally with vacuum extractor assistance, swelling over the newborn's head that crosses the suture line.
Question 3 of 5
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
Correct Answer: B
Rationale: Caput succedaneum involves swelling of the scalp caused by pressure during delivery, often crossing suture lines due to subcutaneous fluid accumulation, a hallmark distinguishing it from other neonatal head conditions.
Extract:
Newborn with a suspected condition.
Question 4 of 5
Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?
Correct Answer: B,C
Rationale: Oral mucosa changes (
B), such as pallor or cyanosis, may occur due to hypoxia or circulatory compromise. Respiratory changes (
C), including tachypnea or retractions, are significant manifestations of stress or pulmonary involvement in neonatal conditions like asphyxia.
Extract:
Newborn who is 48 hr old and is experiencing opioid withdrawals.
Question 5 of 5
A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Moderate tremors result from central nervous system irritability during withdrawal. Elevated norepinephrine levels lead to excessive stimulation, causing tremors and jitteriness.