Questions 48

ATI RN

ATI RN Test Bank

ATI Custom Maternal Newborn Questions

Extract:

Newborn immediately after birth


Question 1 of 5

The priority nursing care of the newborn immediately after birth includes all except:

Correct Answer: D

Rationale: Announcement of the delivery is not a priority in nursing care of the newborn immediately after birth. While it may be a joyful moment for the parents and family, it does not affect the health and well-being of the newborn.
Therefore, it can be done later after the essential newborn care has been completed.

Extract:

During vaginal delivery, newborn's head emerges


Question 2 of 5

During a vaginal delivery, the first thing a nurse must ensure when the head comes out is that the midwife or doctor checks that

Correct Answer: C

Rationale: Checking for a nuchal cord (cord around the neck) is critical to prevent compression, which could reduce blood flow and oxygen to the baby.

Extract:

Client 2 hours postpartum, vaginal birth, saturated two perineal pads in 30 minutes


Question 3 of 5

A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?

Correct Answer: C

Rationale: Palpating the uterine fundus assesses for uterine atony, a common cause of postpartum hemorrhage indicated by excessive bleeding.

Extract:

Newborn reflex observation


Question 4 of 5

Which newborn reflex elicits the following reaction: Head turns to one side - the way the head is facing, the arm/leg is stretched out while the other is bent?

Correct Answer: A

Rationale: The tonic neck reflex, also called the fencing posture, occurs when a baby's head is turned to one side, causing the arm and leg on that side to stretch out and the opposite side to bend, matching the described reaction.

Extract:

Infant with axillary temperature of 35.9C (96.6F)


Question 5 of 5

An infant's axillary temperature is 35.9C (96.6F). The priority nursing action is to:

Correct Answer: C

Rationale: The low temperature indicates hypothermia, and placing the infant in a radiant warmer is the priority to stabilize body temperature and prevent complications.

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