ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who has spinal bifida
Question 1 of 5
Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The prone position minimizes pressure on the spina bifida lesion, reducing trauma and infection risk. Rectal temperatures, dry dressings, and snug diapers increase infection or damage risk.
Extract:
A newborn diagnosed with hydrocephalus
Question 2 of 5
Which of the following symptoms should the nurse anticipate?
Correct Answer: B
Rationale: Dilated scalp veins result from increased intracranial pressure in hydrocephalus. Sloping forehead, overlapping sutures, and hypertension are not typical symptoms.
Extract:
An 8-hour-old, term newborn following a cesarean birth, skin is yellow
Question 3 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Yellow skin at 8 hours suggests pathologic jaundice, likely from blood group incompatibility causing hemolysis. Physiologic jaundice appears later, cocaine and vitamin K are unrelated.
Extract:
A newborn who is 4 hours old
Question 4 of 5
Which condition poses the greatest risk to the newborn?
Correct Answer: D
Rationale: Congenital cardiac defects are the most common and potentially life-threatening birth defects, affecting blood flow and oxygenation. NAS, DDH, and subgaleal hemorrhage are serious but less immediately critical.
Extract:
A client who is 3 weeks postpartum following the birth of a healthy newborn, reports feeling down and sad, having no energy, and wanting to cry
Question 5 of 5
What should be the nurse's priority action?
Correct Answer: A
Rationale: Asking about thoughts of harming the newborn assesses for postpartum depression with potential risk to the infant, prioritizing safety. Teaching, coping skills, and anticipating medication are secondary to ensuring immediate safety.