ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Infant heelstick procedure
Question 1 of 5
The most serious complication of an infant heelstick is necrotizing osteochondritis resulting from lancet penetration of the bone. What approach should the nurse take when performing the test to prevent this complication?
Correct Answer: B
Rationale: The outer heel is safer, avoiding bone penetration and reducing the risk of necrotizing osteochondritis.
Extract:
Newborn delivered by vaginal birth with vacuum assist, swollen area on head
Question 2 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Caput succedaneum, caused by delivery pressure, crosses suture lines and resolves quickly, unlike cephalhematoma.
Extract:
Primiparous woman in the taking-in stage post-childbirth
Question 3 of 5
A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment after childbirth. Recognizing the needs of women during this stage, how should the nurse respond?
Correct Answer: B
Rationale: In the taking-in stage, the mother is dependent and needs to process her birth experience, making reflection time appropriate.
Extract:
Newborn 1 hr after birth
Question 4 of 5
A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
Correct Answer: D
Rationale: A respiratory rate of 48/min is within the normal range for a newborn (40-60 breaths per minute).
Extract:
Client is 3 days postoperative following a cesarean birth
Question 5 of 5
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed?
Correct Answer: A
Rationale: A fever in the first week post-cesarean is not expected and may indicate infection, requiring further teaching.