ATI RN
ATI Maternal Newborn Care Exam 4A Questions
Extract:
Acrocyanosis refers to the bluish discoloration of the extremities in newborns.
Question 1 of 5
Where would acrocyanosis be assessed on a newborn?
Correct Answer: A
Rationale: Acrocyanosis is typically observed in the hands and feet of newborns.
Extract:
The mother's temperature is slightly elevated 12 hours after delivery of the baby.
Question 2 of 5
The mother's temperature is slightly elevated 12 hours after delivery of the baby. What additional assessment would the nurse perform first?
Correct Answer: C
Rationale: Checking lochia for abnormal color or odor can indicate infection, a common cause of elevated temperature.
Extract:
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration.
Question 3 of 5
Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?
Correct Answer: B
Rationale: The number of wet diapers (at least 6 per day) is a reliable indicator of adequate hydration in newborns.
Extract:
A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery.
Question 4 of 5
Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
Correct Answer: D
Rationale: Oxytocin promotes uterine contractions; a firm fundus indicates its effectiveness in preventing hemorrhage.
Extract:
A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood for a 30-min period.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Checking the fundus first assesses for uterine atony, a common cause of excessive bleeding.