ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Patient at 30 weeks gestation, hopes for awake and alert baby
Question 1 of 5
The LPN is discussing childbirth classes with a patient who is 30 weeks gestation. The patient shares that she hopes to deliver a baby who is awake and alert. The LPN is aware of Lamaze and Bradley classes being offered. For which reasons would the LPN recommend Bradley classes to this patient?
Correct Answer: A,C
Rationale: The Bradley method emphasizes partner coaching and unmedicated birth, aligning with an alert baby goal. Pain control variety and muscle focus are more Lamaze traits, and Bradley isn't the most used method.
Extract:
Newborn small for gestational age
Question 2 of 5
A nurse is reinforcing teaching with the mother of a newborn who is small for gestational age. Which of the following should the nurse include as a cause of this condition?
Correct Answer: A
Rationale: Placental insufficiency restricts nutrient and oxygen delivery, causing SGA. Primipara slightly increases low birth weight risk, obesity links to LGA, and asphyxia is a complication, not a cause.
Extract:
Term newborn following cesarean birth, slightly yellow skin
Question 3 of 5
A nurse is admitting a term newborn to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: A
Rationale: Yellow skin within 24 hours suggests pathologic jaundice, often from blood group incompatibility causing hemolysis and bilirubin rise. Vitamin K deficiency causes bleeding, cocaine abuse unrelated to jaundice, and physiologic jaundice appears later.
Extract:
Newborn with respiratory distress syndrome experiencing respiratory acidosis
Question 4 of 5
A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?
Correct Answer: A
Rationale: Small for gestational age newborns have immature lungs with less surfactant, increasing the risk of respiratory distress syndrome and acidosis. Maternal asthma, ventricular septal defects, and cesarean birth are not direct risk factors for RDS, though they may cause other complications.
Extract:
Newborn 1 hr following birth, 39 weeks gestation, Apgar 5 at 1 min, 8 at 5 min, emergency cesarean for abruptio placenta, non-reassuring fetal heart rate, positive pressure ventilation for 1 min, free flow oxygen
Question 5 of 5
A nurse is assisting with the care of a newborn 1 hr following birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: B,C,D,F,G
Rationale: Respiratory issues post-ventilation, hypoglycemia risk from abruptio placenta, potential anemia (hematocrit, hemoglobin), and heart rate abnormalities from fetal distress require reporting.