ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis.
Question 1 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Weeks of gestation. Amniocentesis is a procedure used to detect genetic abnormalities in the fetus by analyzing the amniotic fluid. It is done around 15-20 weeks of gestation to determine the fetal age accurately. This information is crucial for monitoring the pregnancy's progress and ensuring appropriate prenatal care.
Choices A, C, and D are incorrect as amniocentesis is not primarily used to determine the gender of the fetus, detect anatomic abnormalities, or assess lung maturity.
Extract:
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.
Question 2 of 5
The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: A
Rationale: The correct answer is A: Bleeding. Vitamin K is essential for the production of clotting factors in the liver, which helps prevent bleeding disorders like hemorrhage in newborns. Hyperbilirubinemia is managed with phototherapy, not vitamin K. Potassium deficiency is unrelated to vitamin K administration. Infection prevention is not a primary purpose of vitamin K administration.
Extract:
A nurse is caring for a newborn immediately after birth.
Question 3 of 5
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: B
Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.
Extract:
A nurse is admitting a full-term baby boy delivered 12 hours ago to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow.
Question 4 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: The correct answer is B: Physiologic jaundice. Physiologic jaundice is common in newborns due to the breakdown of red blood cells and immature liver function. This leads to an increase in bilirubin levels, causing yellowing of the skin and eyes. Maternal/newborn blood group incompatibility (
A) would present with hemolytic disease of the newborn. Maternal cocaine abuse (
C) can lead to various complications but is not directly related to jaundice. Absence of vitamin K (
D) can cause bleeding issues but is not typically associated with jaundice in newborns.
Extract:
A nurse is preparing to examine a post-term newborn immediately following delivery.
Question 5 of 5
Which of the following findings should she expect to observe? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct findings the nurse should expect to observe in a newborn are cracked, peeling skin (choice
C) and vernix in the folds and creases (choice E). Cracked, peeling skin is a normal postnatal adaptation due to the loss of the protective vernix caseosa. Vernix in the folds and creases is also expected as it helps protect the skin from the amniotic fluid. Moro reflex (choice
A) is a newborn reflex that involves the spreading out and then drawing in of the infant's arms in response to a sensation of falling, so this is not a expected finding. Heel to ear maneuverability (choice
B) is not a typical newborn assessment, so it is an incorrect choice. Abundant lanugo (choice
D) is fine hair that covers a newborn's body and is typically shed before birth, so it is an incorrect finding for a newborn.