ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Newborn
Question 1 of 5
The nurse notes that a newborn's white blood cell count (WBC) is 15,000. The nurse is aware that:
Correct Answer: A
Rationale: A WBC of 15,000 is within the normal range for newborns (9,000-30,000/mm³), reflecting stress or birth physiology. It does not indicate infection, require a doctor call, or suggest a lab error without other symptoms.
Extract:
Question 2 of 5
What are the signs and symptoms of Thalassemia? Select all that apply.
Correct Answer: A,B
Rationale: Slow growth and fatigue are common symptoms of thalassemia due to anemia from reduced hemoglobin production, affecting oxygen delivery and growth. Hematoma and pruritus are not typical symptoms, though bleeding risks or iron overload side effects may occur but are less direct.
Question 3 of 5
What should be included in teaching for bottle-feeding parents?
Correct Answer: A,B,C,E
Rationale: Discarding formula prevents bacterial growth, propping risks choking, three formula types exist, and refrigeration preserves prepared bottles. Microwaving creates hot spots, risking burns.
Extract:
Newborn delivered by vacuum extraction, swelling on head crossing suture line
Question 4 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.
Extract:
Newborn following delivery
Question 5 of 5
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery. The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: C
Rationale: Vitamin K prevents bleeding (hemorrhagic disease of the newborn) by aiding clotting factor synthesis, as newborns have low vitamin K levels. It does not prevent infection, hyperbilirubinemia, or potassium deficiency.