ATI RN
ATI Custom Maternity Newborncare Questions
Extract:
Newborn 18 hours old who has not voided
Question 1 of 5
The nurse is caring for an 18-hour-old newborn who has not voided for the first time yet. What is the nurse's priority action?
Correct Answer: D
Rationale: Delayed voiding up to 24 hours is normal; documenting and monitoring are appropriate unless other concerns arise.
Extract:
Postpartum client bottle-feeding with breast engorgement
Question 2 of 5
A nurse is reinforcing teaching about comfort measures for breast engorgement with a client who is postpartum and is bottle-feeding her newborn. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stimulating nipples increases milk production, worsening engorgement, unlike other measures that reduce discomfort.
Extract:
Newborn with apical pulse of 130/min
Question 3 of 5
A nurse is collecting data from a newborn and finds an apical pulse of 130/min. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An apical pulse of 130/min is within the normal newborn range (110-160 bpm), requiring only documentation.
Extract:
Newborn 2 hours old breastfeeding
Question 4 of 5
A mother who is holding her 2-hour-old newborn says, 'I don't think she likes breastfeeding, but last time, when we were in the delivery room, she did really well.' Which is the nurse's best response?
Correct Answer: B
Rationale: Assisting with latching addresses breastfeeding difficulties directly, promoting effective feeding.
Extract:
Newborn 4 hours old with lab results
Question 5 of 5
A nurse is reviewing the laboratory results of a newborn that is 4 hr old. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: A bilirubin of 18 mg/dL at 4 hours indicates severe hyperbilirubinemia, risking brain damage if untreated.