ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago, vaginal birth, estimated blood loss 1500 ml
Question 1 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 1 hr after birth
Question 2 of 5
A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
Correct Answer: D
Rationale: A respiratory rate of 48/min is within the normal range for a newborn (40-60 breaths per minute).
Extract:
Baby born 10 hours ago by cesarean section with moist lung sounds
Question 3 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:
Postpartum client with newborn, maternal grandmother born deaf
Question 4 of 5
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Routine hearing screenings provide an accurate assessment of newborn hearing, addressing the client's concern effectively.
Extract:
Newborn with weak cry, some flexion of arms and legs, active movement and cries to stimulation, heart rate 145, pallor all over
Question 5 of 5
You're assessing the one-minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score?
Correct Answer: B
Rationale: Weak cry (1), some flexion (1), active movement (2), heart rate >100 (2), and pallor (0) yield an APGAR score of 6, indicating moderate adaptation.