ATI RN
ATI Maternal Newborn Exam Questions
Extract:
A newborn is 56 hours old and was born at 38 weeks gestation. The nurse notes that the newborn has been experiencing difficulty feeding, with poor sucking reflex and episodes of irritability. The newborn’s extremities are jittery, and there is a weak cry. The nurse also observes mild tremors and excessive sweating. Vital Signs: Heart rate: 168/min, Respiratory rate: 70/min, Temperature: 36.1°C (97.0°F), Oxygen saturation: 97%. Diagnostic Results: Blood glucose level: 40 mg/dL (low), Urine toxicology screen: Positive for opioids.
Question 1 of 5
A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? For each assessment finding, click to specify if the assessment finding is consistent with hypoglycemia or neonatal abstinence syndrome (NAS).
| Assessment Finding | Hypoglycemia | Neonatal Abstinence |
|---|---|---|
| Jittery extremities. | ||
| Poor sucking reflex. | ||
| Excessive sweating. | ||
| Irritability. | ||
| Weak cry. | ||
| Mild tremors. | ||
| Low blood glucose level. |
Correct Answer: A,B,C,D,E,F,G
Rationale: A: Jittery extremities (Hypoglycemia, NAS). B: Poor sucking reflex (Hypoglycemia, NAS). C: Excessive sweating (Hypoglycemia, NAS). D: Irritability (Hypoglycemia, NAS). E: Weak cry (Hypoglycemia, NAS). F: Mild tremors (Hypoglycemia, NAS). G: Low blood glucose level (Hypoglycemia). H: Positive urine toxicology (NAS).
Extract:
A client who is grieving the loss of their newborn.
Question 2 of 5
A nurse is caring for a client who is grieving the loss of their newborn. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Allowing the client to hold or be with their newborn provides a tangible connection, facilitating the grieving process and helping them come to terms with their loss.
Extract:
A patient.
Question 3 of 5
A patient tells the nurse that she knows all about sexually transmitted infections and proceeds to make the following statements. Which one is the only correct statement that the client makes?
Correct Answer: B
Rationale: Many STIs, such as chlamydia and gonorrhea, can be asymptomatic, making routine screening important.
Extract:
A client who gave birth 2 hours ago.
Question 4 of 5
A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?
Correct Answer: A
Rationale: A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage.
Extract:
A patient who is having hypertonic contractions during labor.
Question 5 of 5
Which of the following is a finding for a patient who is having hypertonic contractions during labor?
Correct Answer: B
Rationale: The uterus may not relax between contractions, leading to compromised fetal blood flow.