ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A newborn who is 30 minutes old
Question 1 of 5
Which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: Meconium aspiration syndrome poses the greatest immediate risk due to potential respiratory distress from inhaling meconium-stained amniotic fluid. Meconium ileus, cold stress, and hypoglycemia are less immediately life-threatening, and jaundice due to amniotic fluid color is not a recognized condition.
Extract:
A newborn who has myelomeningocele
Question 2 of 5
Which of the following nursing goals has the priority in the care of this infant?
Correct Answer: C
Rationale: Maintaining the integrity of the myelomeningocele sac prevents infection and further neural damage, making it the priority. Stimulation, education, and bonding are important but secondary.
Extract:
A newborn who is 56 hours old, awake, alert, crying, pink with acrocyanosis, respiratory rate 70/min, no retractions, grunting, or nasal flaring, jitteriness in hands, poor feeding, poor suck, loose stool
Question 3 of 5
Which of the following assessment findings is consistent with neonatal abstinence syndrome (NAS)?
Correct Answer: D
Rationale: Jitteriness, along with poor feeding and loose stools, is consistent with NAS, indicating opioid withdrawal. Other findings are normal or non-specific.
Extract:
A patient who is at 22 weeks of gestation, unable to control gestational diabetes mellitus with diet and exercise
Question 4 of 5
Which of the following medications should the nurse anticipate the provider will prescribe?
Correct Answer: C
Rationale: Insulin is the preferred treatment for gestational diabetes in pregnancy, as it does not cross the placenta and safely controls glucose. Oral agents are less commonly used.
Extract:
A newborn who has spinal bifida
Question 5 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.