ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn for PKU testing
Question 1 of 5
A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: A
Rationale: Special lights treat jaundice, not PKU, indicating a need for further teaching. PKU is managed by diet, may require repeat testing, and should be tested after fasting, not feeding.
Extract:
Breastfed newborn diagnosed with galactosemia
Question 2 of 5
A breastfed newborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:
Correct Answer: A
Rationale: Galactosemia requires stopping breastfeeding, as breast milk contains galactose, which the newborn cannot metabolize, risking severe complications. Amino acids, lactose formulas, or enzyme therapy are not effective treatments.
Extract:
Newborn delivered by vacuum extraction, swelling on head crossing suture line
Question 3 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.
Extract:
Newborn
Question 4 of 5
Which assessment findings may cause the nurse to suspect a brachial plexus injury?
Correct Answer: B
Rationale: Absent Moro reflex on one side suggests brachial plexus injury (e.g., Erb's palsy), impairing arm movement. Hypotonia, crying, and tremors are less specific, indicating other possible issues.
Extract:
Client 12 hr postpartum, in dependent, taking-in phase
Question 5 of 5
A nurse is collecting data from a client who is 12 hr postpartum. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?
Correct Answer: A
Rationale: In the taking-in phase, mothers often express excitement and focus on their labor experience, being passive and dependent. Appetite is typically increased, learning newborn care comes later in the taking-hold phase, and family focus occurs in the letting-go phase.