Questions 48

ATI RN

ATI RN Test Bank

ATI Custom Maternal Newborn Questions

Extract:

Infant with axillary temperature of 35.9C (96.6F)


Question 1 of 5

An infant's axillary temperature is 35.9C (96.6F). The priority nursing action is to:

Correct Answer: C

Rationale: The low temperature indicates hypothermia, and placing the infant in a radiant warmer is the priority to stabilize body temperature and prevent complications.

Extract:

Newborn, preventing heat loss


Question 2 of 5

To prevent heat loss from convection in a newborn, which action by the nurse is best?

Correct Answer: D

Rationale: Moving the infant away from a blowing fan directly prevents heat loss due to air movement, which is a key factor in convection.

Extract:

Newborn immediately after birth


Question 3 of 5

The priority nursing care of the newborn immediately after birth includes all except:

Correct Answer: D

Rationale: Announcement of the delivery is not a priority in nursing care of the newborn immediately after birth. While it may be a joyful moment for the parents and family, it does not affect the health and well-being of the newborn.
Therefore, it can be done later after the essential newborn care has been completed.

Extract:

Client receiving opioid epidural analgesia during labor


Question 4 of 5

A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?

Correct Answer: A

Rationale: Hypotension (80/56 mm Hg) is the priority as it can reduce placental blood flow, risking fetal distress, and requires immediate intervention.

Extract:

Woman post-spinal anesthesia, pounding headache rated 7/10


Question 5 of 5

A woman had spinal anesthesia for delivery. Now she complains of a pounding headache rated 7/10. What action by the nurse is most appropriate?

Correct Answer: B

Rationale: A pounding headache post-spinal anesthesia suggests a spinal headache from cerebrospinal fluid leakage, best treated with a blood patch to seal the dural puncture.

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