ATI RN
ATI Maternal Newborn Exam Questions
Extract:
A newborn exposed to an active maternal gonorrheal infection.
Question 1 of 5
The nursery nurse caring for a newborn exposed to an active maternal gonorrheal infection will be especially alert for the presence of:
Correct Answer: D
Rationale: Eye infection, specifically conjunctivitis (ophthalmia neonatorum), is common in newborns exposed to gonorrhea.
Extract:
A client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg.
Question 2 of 5
A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: A: CBC detects anemia or infection related to preeclampsia. B: Elevated AST/ALT indicate liver damage. C: Serum creatinine assesses kidney function. D: Fetal ultrasound monitors fetal growth and placental function.
Extract:
A newborn is assessed and found to be jaundiced at 24 hours old.
Question 3 of 5
A newborn is assessed and found to be jaundiced at 24 hours old. What is the significance of this finding?
Correct Answer: B
Rationale: Jaundice within the first 24 hours suggests possible hemolysis or infection, requiring immediate medical attention.
Extract:
A newborn is 56 hours old and was born at 38 weeks gestation. The nurse notes that the newborn has been experiencing difficulty feeding, with poor sucking reflex and episodes of irritability. The newborn’s extremities are jittery, and there is a weak cry. The nurse also observes mild tremors and excessive sweating. Vital Signs: Heart rate: 168/min, Respiratory rate: 70/min, Temperature: 36.1°C (97.0°F), Oxygen saturation: 97%. Diagnostic Results: Blood glucose level: 40 mg/dL (low), Urine toxicology screen: Positive for opioids.
Question 4 of 5
A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? For each assessment finding, click to specify if the assessment finding is consistent with hypoglycemia or neonatal abstinence syndrome (NAS).
| Assessment Finding | Hypoglycemia | Neonatal Abstinence |
|---|---|---|
| Jittery extremities. | ||
| Poor sucking reflex. | ||
| Excessive sweating. | ||
| Irritability. | ||
| Weak cry. | ||
| Mild tremors. | ||
| Low blood glucose level. |
Correct Answer: A,B,C,D,E,F,G
Rationale: A: Jittery extremities (Hypoglycemia, NAS). B: Poor sucking reflex (Hypoglycemia, NAS). C: Excessive sweating (Hypoglycemia, NAS). D: Irritability (Hypoglycemia, NAS). E: Weak cry (Hypoglycemia, NAS). F: Mild tremors (Hypoglycemia, NAS). G: Low blood glucose level (Hypoglycemia). H: Positive urine toxicology (NAS).
Extract:
A newborn delivered by vaginal birth with a vacuum assist.
Question 5 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: C
Rationale: Caput succedaneum is edema of the newborn's scalp that crosses suture lines, commonly resulting from vacuum-assisted delivery.