ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Newborn 56 hours old, poor feeding, poor suck, jittery, lethargic, jaundice, loose stool, bilirubin 14 mg/dL, glucose 50 mg/dL.
Question 1 of 5
A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? Each finding may support more than one disease process.
Correct Answer: A
Rationale: Jitteriness, lethargy, and poor feeding align with hypoglycemia and NAS; jaundice indicates neonatal jaundice; loose stool is typical in NAS.
Extract:
Question 2 of 5
The RN has received a hand-off report. Which client does the RN need to see first?
Correct Answer: B
Rationale: Postpartum hemorrhage is life-threatening and requires immediate assessment to ensure stability.
Extract:
Newborn 8 hours of age.
Question 3 of 5
A nurse is caring for a newborn 8 hours of age. Which of the following assessment findings require follow-up by the nurse?
Correct Answer: A,B,D
Rationale: A: Large ecchymotic caput may indicate complications. B: Jaundice requires monitoring. D: High respiratory rate suggests distress.
Extract:
Mother delivered vaginally 2 hours ago, fundus firm at umbilicus, BP 108/64, apical 90, RR 20, temp 98.6°F, sudden heavy lochia saturating chux pad in 5 minutes.
Question 4 of 5
A nurse admits a normal vaginal delivery to the maternity unit 2 hours ago. The patient's fundus is firm at the umbilicus. On admission, her vital signs are BP 108/64, Apical 90, RR 20, and Temp. 98.6°F. Suddenly, her lochia appears to be heavy, saturating the entire chux pad within 5 minutes. At this time, the nurse's first priority action is:
Correct Answer: D
Rationale: Massaging the fundus promotes uterine contraction, addressing heavy lochia to control bleeding.
Extract:
Infant with suspected necrotizing enterocolitis (NEC).
Question 5 of 5
Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system. Which findings would cause the nurse to suspect NEC?
Correct Answer: C
Rationale: Abdominal distention, temperature instability, and bloody stools are classic NEC symptoms.