ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client is 2 hr postpartum
Question 1 of 5
A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Frequent rectal temperature checks are unnecessary and uncomfortable; temperature is typically monitored periodically.
Extract:
Baby born 10 hours ago by cesarean section with moist lung sounds
Question 2 of 5
A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago by cesarean section is found to have moist lung sounds. What is the best interpretation of these data?
Correct Answer: B
Rationale: Moist lung sounds in cesarean-born newborns are common due to retained fluid, typically resolving within 24 hours.
Extract:
Newborn 1 hr after birth
Question 3 of 5
A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
Correct Answer: D
Rationale: A respiratory rate of 48/min is within the normal range for a newborn (40-60 breaths per minute).
Extract:
Newborn receiving hepatitis B virus (HBV) vaccine
Question 4 of 5
The nurse is preparing to administer a hepatitis B virus (HBV) vaccine to a newborn. Which intervention by the nurse is correct?
Correct Answer: B
Rationale: A 25-gauge, 5/8-inch needle is appropriate for intramuscular vaccine administration in newborns, typically in the vastus lateralis.
Extract:
Client is 3 days postoperative following a cesarean birth
Question 5 of 5
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed?
Correct Answer: A
Rationale: A fever in the first week post-cesarean is not expected and may indicate infection, requiring further teaching.