ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is preparing to assess a newborn who is postmature.
Question 1 of 5
Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: D,E
Rationale: D: The Moro reflex is present in postmature newborns. E: Prolonged amniotic fluid exposure causes cracked, peeling skin in postmature infants.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. The client reports she has not felt fetal movement for 12 hr.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Auscultating the fetal heart rate assesses fetal well-being immediately, guiding further actions for decreased fetal movement.
Extract:
A nurse is preparing to administer vitamin K by IM injection to a newborn.
Question 3 of 5
The nurse should administer the medication into which of the following muscles?
Correct Answer: C
Rationale: The vastus lateralis is a safe, accessible site with adequate muscle mass for IM injections in newborns.
Extract:
A nurse is assisting a client who is postpartum with her first breastfeeding experience. The client asks how much of the nipple she should put into the newborn's mouth.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A proper latch includes the nipple and a portion of the areola, ensuring effective milk transfer and reducing nipple soreness.
Extract:
A nurse is assisting a client with breastfeeding.
Question 5 of 5
The nurse explains that which of the following reflexes will promote the newborn to latch?
Correct Answer: C
Rationale: The rooting reflex prompts the newborn to turn toward a stimulus and open its mouth, aiding latching.