ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn undergoing phototherapy
Question 1 of 5
A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Frequent breastfeeding promotes hydration and bilirubin excretion during phototherapy. Glucose monitoring is unnecessary, lotion interferes with light efficacy, and prone positioning limits skin exposure.
Extract:
Newborn 1 hr following birth, placed on radiant warmer, pink with acrocyanosis, mild grunting, nasal flaring, intermittent retractions
Question 2 of 5
A nurse is assisting with the care of a newborn 1 hr following birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: B,C,D,F,G
Rationale: Respiratory distress signs (grunting, flaring, retractions) indicate potential lung or heart issues. Serum glucose, hematocrit, and hemoglobin are critical due to risks like hypoglycemia or anemia. Heart rate abnormalities could signal distress or cardiac issues.
Extract:
Newborn at 42 weeks gestation
Question 3 of 5
A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Post-term newborns often have dry, cracked skin due to prolonged amniotic fluid exposure. Scant hair and copious vernix are preterm traits, and subcutaneous fat may decrease due to placental insufficiency.
Extract:
Question 4 of 5
Which of these is a characteristic of a preterm infant?
Correct Answer: C
Rationale: Lanugo is a characteristic of preterm infants, as it is fine, downy hair covering the fetus that typically disappears by 36 weeks gestation but remains in preterm infants. Hypertonia, long toenails, and dry skin are more associated with post-term infants.
Extract:
Newborn 1 hr following birth, hemoglobin 9 g/dL, hematocrit 35%, platelet count 210,000/mm², WBC 9,500/mm³, serum glucose 130 mg/dL
Question 5 of 5
A nurse is assisting with the care of a newborn 1 hr following birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: C,D,F
Rationale: Low hemoglobin (9 g/dL) and hematocrit (35%) indicate anemia, risking hypoxia. High serum glucose (130 mg/dL) suggests hyperglycemia, potentially harmful. Temperature, respiratory findings, WBC, and heart rate lack abnormal data here.