ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Infant with suspected necrotizing enterocolitis (NEC).
Question 1 of 5
Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system. Which findings would cause the nurse to suspect NEC?
Correct Answer: C
Rationale: Abdominal distention, temperature instability, and bloody stools are classic NEC symptoms.
Extract:
Newborn delivered via cesarean, 4337 grams, full-term, Apgar 8/9, under observation for jaundice and poor feeding, jittery, lethargic, poor suck, jaundice, loose stool, bilirubin 15 mg/dL, glucose 45 mg/dL.
Question 2 of 5
A nurse is caring for a newborn in the neonatal unit. The newborn was delivered via cesarean birth approximately 1 hour ago. Complete the diagram by specifying: 1. What condition the newborn is most likely experiencing. 2. Two actions the nurse should take to address that condition. 3. Two parameters the nurse should monitor to assess the newborn's progress.
Correct Answer: A
Rationale: Neonatal jaundice is indicated by elevated bilirubin and yellow skin. Phototherapy and frequent feeding reduce bilirubin, while monitoring bilirubin and glucose tracks progress.
Extract:
Newborn 8 hours old, then 36 hours old, with axillary temp 37.1°C to 36.1°C, heart rate 132 to 160/min, respiratory rate 52 to 78/min.
Question 3 of 5
A nurse is caring for a newborn 8 hours old. Axillary temperature: 37.1°C (96.8°F). Heart rate: 132/min. Respiratory rate: 52/min. At 36 hours of age: Axillary temperature: 36.1°C (97°F). Heart rate: 160/min. Respiratory rate: 78/min. Which of the following assessment findings require follow-up by the nurse?
Correct Answer: B,C,D
Rationale: B: Respiratory rate 78/min is high, suggesting distress. C: Nasal flaring indicates respiratory difficulty. D: Ecchymotic fontanel may indicate trauma, needing evaluation.
Extract:
Postpartum client who delivered vaginally, saturated 6 perineal pads with bright red blood and small clots in one hour.
Question 4 of 5
A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is:
Correct Answer: A
Rationale: A macrosomic baby causes uterine overstretching, increasing the risk of postpartum hemorrhage.
Extract:
Client with a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours.
Question 5 of 5
The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?
Correct Answer: C
Rationale: Calculation: 0.2 mg every 6 hours = 4 doses in 24 hours; 0.2 mg x 4 = 0.8 mg.