ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client following a vaginal delivery
Question 1 of 5
A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Blotting dry, hand hygiene, cleaning front to back, and washing with warm water reduce infection risk by maintaining cleanliness.
Extract:
Newborn with weak cry, some flexion of arms and legs, active movement and cries to stimulation, heart rate 145, pallor all over
Question 2 of 5
You're assessing the one-minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score?
Correct Answer: B
Rationale: Weak cry (1), some flexion (1), active movement (2), heart rate >100 (2), and pallor (0) yield an APGAR score of 6, indicating moderate adaptation.
Extract:
Newborn symmetrically abducts and extends arms with fingers fanning out and tremor on loud noise
Question 3 of 5
While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with the thumb and forefinger, and he has a slight tremor. The nurse would document this finding as a positive reflex.
Correct Answer: A
Rationale: This description matches the Moro reflex, a normal startle response in newborns to loud stimuli.
Extract:
Newborn 1 hr after birth
Question 4 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 immediately following birth
Question 5 of 5
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Correct Answer: B
Rationale: Drying the skin prevents heat loss through evaporation, prioritizing thermoregulation after ensuring a patent airway.