Questions 48

ATI RN

ATI RN Test Bank

ATI Custom Maternal Newborn Questions

Extract:

Newborn born at 37 weeks, 12 hours old, tachypnea, grunting, nasal flaring, substernal retractions, acrocyanosis


Question 1 of 5

Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the newborn's progress.

Correct Answer: B

Rationale: Respiratory distress syndrome is likely due to respiratory symptoms. Administer surfactant and provide oxygen therapy address lung immaturity and oxygenation. Monitor arterial blood gases and oxygen saturation to assess progress.

Extract:

Early postpartum woman


Question 2 of 5

Which maternal event is abnormal in the early postpartum period?

Correct Answer: B

Rationale: Extreme hunger and thirst may indicate abnormal blood sugar levels or metabolic issues, requiring further evaluation, unlike the other normal postpartum events.

Extract:

Newborn reflex observation


Question 3 of 5

Which newborn reflex elicits the following reaction: Head turns to one side - the way the head is facing, the arm/leg is stretched out while the other is bent?

Correct Answer: A

Rationale: The tonic neck reflex, also called the fencing posture, occurs when a baby's head is turned to one side, causing the arm and leg on that side to stretch out and the opposite side to bend, matching the described reaction.

Extract:

Newborns in nursery


Question 4 of 5

A nurse receives handoff report. Which newborn should the nurse assess first?

Correct Answer: C

Rationale: A respiratory rate of 78 breaths/minute indicates tachypnea, suggesting potential respiratory distress, which requires immediate assessment.

Extract:

Client 2 hours postpartum, vaginal birth, saturated two perineal pads in 30 minutes


Question 5 of 5

A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?

Correct Answer: C

Rationale: Palpating the uterine fundus assesses for uterine atony, a common cause of postpartum hemorrhage indicated by excessive bleeding.

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