ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is caring for a newborn.
Exhibit1
Vital Signs
8 hr of age:
Temperature: 37.1° C (98.8° F) Axillary
Pulse rate: 132/min
Respiratory rate: 52/min
36 hr of age:
Temperature: 36.1° C (97" F) Axillary
Pulse rate: 160/min
Respiratory rate: 78/min”
Question 1 of 5
For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
| Assessment Findings | Hypoglycemia | Hyperbilirubinemia | Sepsis |
|---|---|---|---|
| Ecchymotic caput Succedaneum. | |||
| Decreased temperature. | |||
| Lethargy. | |||
| Poor feeding. | |||
| Respiratory distress. | |||
| Yellow sclera and oral mucosa. |
Correct Answer: B, C, D, E, F
Rationale: Decreased temperature, lethargy, poor feeding, and respiratory distress are consistent with sepsis. Yellow sclera and oral mucosa are consistent with hyperbilirubinemia.
Extract:
Question 2 of 5
Which of the following is a potential complication of maternal hypothyroidism during pregnancy?
Correct Answer: D
Rationale: Maternal hypothyroidism can lead to preterm labor, fetal growth restriction, and preeclampsia, among other complications.
Question 3 of 5
What is the recommended amount of weight gain during pregnancy for a woman with a normal BMI?
Correct Answer: B
Rationale: The correct answer is B (20-30 pounds). This range is recommended for a woman with a normal BMI (18.5-24.9) to ensure a healthy pregnancy. Gaining below 20 pounds may lead to low birth weight, while exceeding 30 pounds increases the risk of complications like gestational diabetes and hypertension. It is important for the mother to gain enough weight to support the baby's growth without putting her health at risk.
Choices A, C, and D are incorrect as they suggest weight gain outside the recommended range, which could potentially harm both the mother and the baby.
Question 4 of 5
A nurse is performing an initial assessment of a newborn. Which of the following actions should the nurse take to prevent any heat loss through conduction?
Correct Answer: A
Rationale: Covering the scale with a warmed blanket prevents heat loss through conduction, which occurs when the newborn comes into contact with a cold surface.
Question 5 of 5
A nurse is caring for a newborn who is 12 hr old and is experiencing jitteriness. Which of the following laboratory findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose. In a newborn experiencing jitteriness, the priority is to assess blood glucose levels to rule out hypoglycemia, which can lead to serious complications like seizures. Monitoring blood glucose is crucial for immediate intervention.
Total bilirubin (
B) is important for assessing jaundice, hemoglobin (
C) for anemia, and blood calcium (
D) for hypocalcemia, but these are not the priority in this situation. Blood glucose level is the main concern due to its potential immediate impact on the newborn's neurological function.