ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 1 of 5
What clinical findings should the nurse report?
Correct Answer: C
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported. Rust-stained urine isn't typically assessed at admission, subconjunctival hemorrhage is benign, and transient circumoral cyanosis is normal if brief.
Extract:
A nurse is caring for a 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 2 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 3 of 5
Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Closing the eyes before applying eyepatches protects them from phototherapy light. Turning isn't critical, lotion blocks light, and glucose water isn't indicated.
Extract:
A nurse is educating a client who follows a vegan diet and wants to increase their vitamin B intake.
Question 5 of 5
Which food should the nurse suggest?
Correct Answer: D
Rationale: Fortified soy milk is a reliable source of vitamin B12 for vegans, unlike citrus fruits (vitamin
C), carrots (vitamin
A), or brown rice (other B vitamins but not B12).