ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Newborn immediately following birth
Question 1 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: A
Rationale: Drying the skin removes amniotic fluid, preventing heat loss through evaporation.
Extract:
Client is 2 hr postpartum
Question 2 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:
Woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago, vaginal birth, estimated blood loss 1500 ml
Question 3 of 5
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?
Correct Answer: D
Rationale: Elevated heart rate and low blood pressure with significant blood loss suggest hypovolemic shock, requiring immediate intervention.
Extract:
Newly delivered mother intending to breastfeed who wants to resume smoking
Question 4 of 5
A newly delivered mother who intends to breastfeed tells her nurse, 'I am so relieved that this pregnancy is over so that I can start smoking again.' The nurse encourages the client to refrain from smoking. However, this new mother is insistent that she will resume smoking. How will the nurse adapt her health teaching with this new information?
Correct Answer: A
Rationale: Smoking in another room minimizes the newborn's exposure to harmful secondhand smoke.
Extract:
Newborns in the nursery, one is 18 hr post-delivery with acrocyanosis, another 24 hr post-delivery without meconium, another 24 hr post-delivery with tachycardia (180 bpm), another 24 hr post-delivery without voiding
Question 5 of 5
A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?
Correct Answer: C
Rationale: Persistent tachycardia (180 bpm) may indicate a serious condition like cardiac issues, requiring immediate intervention.