ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Drug-exposed newborn
Question 1 of 5
When observing a drug-exposed newborn, what symptom suggests that the newborn may be exhibiting withdrawal symptoms?
Correct Answer: C
Rationale: Irritability, such as excessive crying or jitteriness, indicates withdrawal in drug-exposed newborns due to CNS overstimulation. Sleepiness, constipation, or absent reflexes suggest other issues, not withdrawal.
Extract:
Client with suspected hydatidiform mole
Question 2 of 5
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?
Correct Answer: D
Rationale: Excessive uterine enlargement is a key sign of hydatidiform mole due to trophoblastic tissue overgrowth. Fetal heart rate irregularities are absent as there's typically no viable fetus, and hCG levels are high, not dropping. Bleeding, not whitish discharge, is common.
Extract:
Newborn 1 hr after birth, temperature 36.6°C, heart rate 178/min, respiration rate 80/min, oxygen saturation 96%, later heart rate 174/min, respiration rate 84/min, oxygen saturation 97%
Question 3 of 5
A nurse is assisting with the care of a newborn 1 hr after birth. Select the 5 findings that the nurse should report to the provider.
Correct Answer: B,G
Rationale: High respiratory rate (80-84/min) and low oxygen saturation (96%) suggest respiratory distress. Elevated heart rate (174-178/min) indicates tachycardia, possibly from stress or hypoxia. Other findings lack abnormal data or specific values.
Extract:
Breastfed newborn diagnosed with galactosemia
Question 4 of 5
A breastfed newborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:
Correct Answer: A
Rationale: Galactosemia requires stopping breastfeeding, as breast milk contains galactose, which the newborn cannot metabolize, risking severe complications. Amino acids, lactose formulas, or enzyme therapy are not effective treatments.
Extract:
Question 5 of 5
What is true regarding FAS and NAS?
Correct Answer: A
Rationale: Fetal alcohol syndrome (FAS) results from maternal alcohol use, causing developmental issues, while neonatal abstinence syndrome (NAS) stems from opioid exposure, leading to withdrawal. Neither is caused by analgesics or NSAIDs, and while manageable, they are not fully curable.