ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Question 1 of 5
What are the risk factors for neonatal sepsis? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Preterm birth increases sepsis risk due to immature immunity. Precipitous delivery can cause fetal distress, heightening infection susceptibility. Frequent vaginal exams introduce bacteria, and maternal GBS infection is a major cause of early-onset sepsis.
Extract:
Newborn immediately following birth
Question 2 of 5
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse expect to administer?
Correct Answer: B,C,D
Rationale: Hepatitis B vaccine, phytonadione (vitamin K), and antibiotic eye ointment prevent infection, bleeding, and conjunctivitis, respectively. Lidocaine and Hib vaccine are not standard immediate treatments.
Extract:
Newborn undergoing phototherapy
Question 3 of 5
A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Frequent breastfeeding promotes hydration and bilirubin excretion during phototherapy. Glucose monitoring is unnecessary, lotion interferes with light efficacy, and prone positioning limits skin exposure.
Extract:
Question 4 of 5
A newborn is most interested in eating in which wake and sleep state?
Correct Answer: D
Rationale: The alert state is optimal for feeding as the newborn is awake, calm, and attentive, showing hunger cues like rooting. Drowsy or crying states hinder effective feeding, and active alert may lead to distractions.
Question 5 of 5
Which of the following are contraindications for VBAC?
Correct Answer: C,E
Rationale: Maternal obesity and macrosomic fetus are relative contraindications for VBAC, increasing risks like uterine rupture or failure. Prior vaginal delivery and one prior cesarean are favorable, and 42 weeks gestation is not a direct contraindication.