ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Small for gestational age (SGA) newborn.
Question 1 of 5
When planning the care for a small for gestational age (SGA) newborn, which assessment should the nurse prioritize?
Correct Answer: B
Rationale: SGA newborns are at high risk for hypoglycemia due to low glycogen stores, requiring priority assessment.
Extract:
Infant with respiratory distress syndrome (RDS).
Question 2 of 5
The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:
Correct Answer: D
Rationale: Intercostal retractions indicate increased breathing effort, a hallmark of RDS due to underdeveloped lungs.
Extract:
Client 3 weeks postpartum, reporting feeling 'down,' sad, no energy, and wanting to cry.
Question 3 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: A
Rationale: Assessing for thoughts of harming the newborn is critical to identify severe postpartum depression or psychosis.
Extract:
Client post-uncomplicated vaginal birth.
Question 4 of 5
The nurse is assessing the client's transition to the taking-hold phase after an uncomplicated vaginal birth. Which behavior by the mother best indicates this transition is occurring?
Correct Answer: C
Rationale: Interest in infant care indicates the taking-hold phase, focusing on the baby's needs.
Extract:
Newborn delivered via cesarean, 4337 grams, full-term, Apgar 8/9, under observation for jaundice and poor feeding, jittery, lethargic, poor suck, jaundice, loose stool, bilirubin 15 mg/dL, glucose 45 mg/dL.
Question 5 of 5
A nurse is caring for a newborn in the neonatal unit. The newborn was delivered via cesarean birth approximately 1 hour ago. Complete the diagram by specifying: 1. What condition the newborn is most likely experiencing. 2. Two actions the nurse should take to address that condition. 3. Two parameters the nurse should monitor to assess the newborn's progress.
Correct Answer: A
Rationale: Neonatal jaundice is indicated by elevated bilirubin and yellow skin. Phototherapy and frequent feeding reduce bilirubin, while monitoring bilirubin and glucose tracks progress.