ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is assessing a newborn who is 2 hours old.
Question 1 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply)
Correct Answer: B, D
Rationale: Temperature instability and hypotonia are signs of hypoglycemia, affecting thermoregulation and muscle tone due to low blood sugar.
Extract:
A nurse is assessing a newborn of a client who reported methadone use during pregnancy.
Question 2 of 5
What manifestations should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: A weak cry is a common symptom of neonatal abstinence syndrome (NAS) in newborns exposed to opioids like methadone in utero.
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 3 of 5
What actions should the nurse take?
Correct Answer: A
Rationale: Puncturing the lateral side of the heel is correct, minimizing injury risk while obtaining an adequate blood sample.
Extract:
A nurse is calculating the estimated date of birth using Nagele's rule for a client who is pregnant and whose last menstrual cycle started June 21.
Question 4 of 5
What is the estimated date of delivery in the next year?
Correct Answer: C
Rationale: Using Nagele's rule: June 21 - 3 months = March 21, + 7 days = March 28, providing the estimated delivery date.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg to a newborn.
Question 5 of 5
What routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The intramuscular route in the vastus lateralis is preferred for phytonadione in newborns due to its large muscle mass and effective absorption.