Questions 74

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ATI Maternal Newborn Exam Final Questions

Extract:

A newborn who is postmature


Question 1 of 5

Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Postmature newborns have cracked, peeling skin due to prolonged amniotic fluid exposure and reduced vernix. Lanugo, short nails, and vernix are typical of preterm or term infants.

Extract:

A client who is 2 hr postpartum following a vaginal birth


Question 2 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: A

Rationale: A distended bladder displaces the fundus to the right due to pressure on the uterus. Contractions, thirst, and minimal lochia are not related to bladder distension.

Extract:

A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios


Question 3 of 5

What does this diagnosis mean?

Correct Answer: C

Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to fetal anomalies or maternal conditions like diabetes. It is not directly caused by multiple fetuses, congenital anomalies alone, or elevated AFP.

Extract:

A newborn delivered via emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar score 5 at 1 min, positive pressure ventilation given for 1 min followed by free flow oxygen


Question 4 of 5

What finding should the nurse report to the provider?

Correct Answer: D

Rationale: Respiratory assessment is critical due to the low Apgar score and ventilation needs, indicating potential distress. Hemoglobin, hematocrit, glucose, and temperature are less immediate concerns.

Extract:

A newborn who has just delivered, secretions bubbling out of the nose and mouth


Question 5 of 5

Which of the following actions should the nurse prioritize?

Correct Answer: B

Rationale: Suctioning the mouth first clears the airway, preventing aspiration of secretions. Side positioning, nose suctioning, and catheters are secondary or less appropriate.

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