ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
An 8-hour-old, term newborn following a cesarean birth, skin is yellow
Question 1 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Yellow skin at 8 hours suggests pathologic jaundice, likely from blood group incompatibility causing hemolysis. Physiologic jaundice appears later, cocaine and vitamin K are unrelated.
Extract:
A client who is pregnant, Gravida 4 Para 3, 33 weeks of gestation, allergies: sulfa, height 165 cm, weight 82 kg, BMI 30.6, 32 kg weight gain over the last 2 weeks
Question 2 of 5
Select the assessment findings the nurse should report to the provider
Correct Answer: D
Rationale: Rapid weight gain (32 kg in 2 weeks) suggests fluid retention, a potential sign of preeclampsia, requiring immediate reporting. Other findings are routine or non-urgent.
Extract:
A newborn's parent
Question 3 of 5
Which of the following instructions should the nurse include to care for the umbilical cord stump?
Correct Answer: D
Rationale: Sponge baths keep the cord dry, preventing infection and promoting healing. Covering with a diaper, washing, or applying jelly increases infection risk.
Extract:
A newborn who is small for gestational age (SGA)
Question 4 of 5
Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at high risk for hypoglycemia due to limited glycogen stores, making blood glucose monitoring the priority. Temperature, weight, and stimulation are important but secondary.
Extract:
A preterm newborn in an incubator to maintain a neutral thermal environment
Question 5 of 5
Which of the following responses should the nurse make to the father's question about why this is necessary?
Correct Answer: B
Rationale: Preterm newborns lack adequate thermoregulation due to less subcutaneous fat and inability to shiver, necessitating an incubator. Other options are incorrect or irrelevant.