ATI RN
ATI NURS 37500 Maternal Newborn exam 3 Questions
Extract:
Newborn with pink trunk and head, bluish hands and feet, flexed extremities, weak and slow cry, heart rate 130/min, cries in response to suctioning, 5 min after delivery
Question 1 of 5
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning. The nurse should document what APGAR Score for this infant?
Correct Answer: C
Rationale: APGAR score: Color (1, acrocyanosis), Heart rate (2, >100/min), Respiratory effort (1, weak cry), Muscle tone (1, flexed), Reflex irritability (2, cries to suctioning) = 7.
Extract:
Child undergoing abdominal assessment
Question 2 of 5
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.
Correct Answer: A,B,D,C
Rationale: Sequence: Inspection (visual exam), Auscultation (bowel sounds), Superficial palpation (tenderness), Deep palpation (organ assessment).
Extract:
Newborn immediately following birth
Question 3 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: D
Rationale: Drying the skin directly reduces evaporative heat loss, critical for maintaining newborn temperature.
Extract:
Neonate born at term
Question 4 of 5
Which observation is expected when the nurse is assessing the gestational age of a neonate born at term?
Correct Answer: C
Rationale: A flexed position at rest indicates good muscle tone and neuromuscular development, expected in a term neonate.
Extract:
Parents of a 10-month-old infant
Question 5 of 5
The community health nurse is providing teaching to parents of a 10-month-old infant about home safety. Which of the following statements, if made by the parent, would show the need for further teaching?
Correct Answer: A
Rationale: Storing a firearm in a drawer is unsafe; it should be locked securely to prevent access by children.