Questions 53

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Custom ATI Maternity Final 2023 Questions

Extract:

A newborn immediately after birth. At 5 min after birth, the newborn has acrocyanosis, flexed extremities, a grimace when suctioned, a heart rate of 130/min, and a lusty cry with tactile stimulation.


Question 1 of 5

What should the nurse document as the newborn's 5 min Apgar score?

Correct Answer: C

Rationale: This statement is correct. A score of 9 is appropriate for the newborn's condition. The newborn scores 2 in four categories (activity, pulse, grimace, and respiration) and 1 in one category (appearance) for a total of 9.

Extract:

A newborn who is small for gestational age (SGA).


Question 2 of 5

Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: This statement is true. Blood glucose instability is a condition that causes hypoglycemia or low blood sugar levels. It is more common in newborns who are SGA, as they have less glycogen stores and increased metabolic demands. It can cause jitteriness, lethargy, poor feeding, or seizures.

Extract:

A newborn who is small for gestational age.


Question 3 of 5

Which of the following findings is associated with this condition?

Correct Answer: D

Rationale: This statement is true. Gray umbilical cord is a finding that is associated with being small for gestational age. Gray umbilical cord indicates that the cord is old and has lost its blood supply. This can be a sign of placental insufficiency, which is a common cause of fetal growth restriction.

Extract:

A client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day.


Question 4 of 5

The nurse should use which of the following terms to document this finding?

Correct Answer: D

Rationale: This statement is true. Quickening is the term used to describe the first perception of fetal movement by the pregnant woman. It usually occurs between 16 and 20 weeks of gestation.

Extract:

A client who is 2 days postpartum.


Question 5 of 5

Which of the following statements should the nurse include in the teaching?

Correct Answer: D

Rationale: This statement is correct. Breastfeeding a newborn can result in two to three stools per day, or even more. The stool should be loose and yellow in color, and may contain small white curds. This is normal and indicates that the infant is getting enough breast milk.

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