ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Parents of a 24-week preemie in NICU, intubated, receiving mechanical ventilation, TPN, IV fluids, and medications.
Question 1 of 5
The parents of a 24-week preemie who is in the neonatal intensive care unit (NICU) are visiting their baby. The newborn is intubated, receiving mechanical ventilation, TPN, intravenous fluids and medications, and is being monitored electronically by various devices. What action by the nurse would be the most appropriate at this time?
Correct Answer: D
Rationale: Encouraging breast milk pumping empowers parents and supports future enteral feeding for the preemie.
Extract:
Question 2 of 5
The hormone responsible for the production of breast milk is:
Correct Answer: A
Rationale: Prolactin, produced by the anterior pituitary, stimulates mammary glands for milk production.
Extract:
Newborn 8 hours of age.
Question 3 of 5
A nurse is caring for a newborn 8 hours of age. Which of the following assessment findings require follow-up by the nurse?
Correct Answer: A,B,D
Rationale: A: Large ecchymotic caput may indicate complications. B: Jaundice requires monitoring. D: High respiratory rate suggests distress.
Extract:
Newborn who is 56 hours old, vital signs: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%.
Question 4 of 5
A nurse is caring for a newborn who is 56 hours old. Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
Correct Answer: F
Rationale: High heart rate, respiratory rate, and temperature instability are consistent with Neonatal Abstinence Syndrome.
Extract:
Newborn at risk for HIV, weighing 3000 grams.
Question 5 of 5
Zidovudine oral solution 24 mg/kg PO BID has been ordered for a newborn at risk for HIV. On hand is 3000 grams. Calculate the amount to be administered in ml per dose.
Correct Answer: B
Rationale: Calculation: 3000 g = 3 kg; 3 kg x 24 mg = 72 mg; 72 mg ÷ (50 mg/5 ml) = 1.2 ml.