ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Baby born 10 hours ago by cesarean section with moist lung sounds
Question 1 of 5
A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago by cesarean section is found to have moist lung sounds. What is the best interpretation of these data?
Correct Answer: B
Rationale: Moist lung sounds in cesarean-born newborns are common due to retained fluid, typically resolving within 24 hours.
Extract:
Woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago, vaginal birth, estimated blood loss 1500 ml
Question 2 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:
Newborn with uneven skinfolds on buttocks and clunk during Ortolani maneuver
Question 3 of 5
While examining a newborn, the nurse notes uneven skinfolds on the buttocks and a clunk when performing the Ortolani maneuver. These findings are likely indicative of what?
Correct Answer: C
Rationale: Uneven skinfolds and a clunk during the Ortolani maneuver suggest hip dysplasia, indicating abnormal hip joint development.
Extract:
Client 2 hr after spontaneous vaginal birth, saturated two perineal pads in 30 min
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: A
Rationale: Assessing the fundus is the priority to check for uterine atony, a common cause of excessive postpartum bleeding.
Extract:
Baby born 10 hours ago by cesarean section with moist lung sounds
Question 5 of 5
A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago by cesarean section is found to have moist lung sounds. What is the best interpretation of these data?
Correct Answer: B
Rationale: Moist lung sounds in cesarean-born newborns are common due to retained fluid, typically resolving within 24 hours.