ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
The nurse is performing a newborn assessment and evaluates a collection of blood beneath the newborn's scalp that does not cross the suture lines.
Question 1 of 5
The nurse documents this finding as
Correct Answer: D
Rationale: Cephalohematoma is a collection of blood beneath the periosteum of the infant's skull bones that does not cross suture lines, unlike caput succedaneum, which involves swelling that crosses suture lines.
Extract:
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A boggy, displaced fundus indicates possible bladder distension; voiding relieves pressure, aiding uterine contraction.
Extract:
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Question 3 of 5
The nurse should document what Apgar score for this infant?
Correct Answer: 9
Rationale: Apgar score: Color (1), Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (2) = 9.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 4 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: C
Rationale: 12 hours postpartum, the fundus descends approximately one fingerbreadth below the umbilicus, nearing the symphysis pubis.
Extract:
A nurse is teaching about nutrition guidelines to a parent of a newborn.
Question 5 of 5
Which of the following statements by the parent indicates understanding of the teaching?
Correct Answer: C
Rationale: Fruit juice should be delayed until 6 months to avoid nutritional imbalances and tooth decay, per AAP guidelines.