ATI RN
ATI Maternity Exam 2 Questions
Extract:
Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman, the baby appears jittery, irritable, and has a high-pitched cry.
Question 1 of 5
Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?
Correct Answer: B
Rationale: Testing the blood glucose level is critical as these symptoms suggest hypoglycemia, common in neonates of diabetic mothers due to increased insulin production.
Extract:
Preterm lung surfactant production.
Question 2 of 5
Decreased surfactant production in the preterm lung is a problem because surfactant
Correct Answer: C
Rationale: Surfactant prevents alveolar collapse during expiration, aiding breathing in preterm infants with immature lungs.
Extract:
A newborn who develops sepsis.
Question 3 of 5
Which of the following would the nurse expect to assess in a newborn who develops sepsis?
Correct Answer: B
Rationale: Hypothermia is a sign of sepsis in newborns, reflecting impaired temperature regulation due to severe infection.
Extract:
A newborn exhibiting signs of intrauterine drug exposure.
Question 4 of 5
A newborn in the nursery is exhibiting signs of intrauterine drug exposure. Which of the following signs/symptoms is the nurse observing? (Select all that apply)
Correct Answer: B,C,D
Rationale: Tremors, persistent shrill cry, and difficulty consoling are signs of neonatal abstinence syndrome due to intrauterine drug exposure, indicating withdrawal or neurological issues.
Extract:
Infant of a mother with diabetes is hypoglycemic.
Question 5 of 5
The infant of a mother with diabetes is hypoglycemic. What type of feeding should be instituted first?
Correct Answer: C
Rationale: Breast milk is the preferred first feeding for hypoglycemia, providing lactose to raise glucose levels without causing insulin spikes.