ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Newborn with a suspected condition.
Question 1 of 5
Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?
Correct Answer: B,C
Rationale: Oral mucosa changes (
B), such as pallor or cyanosis, may occur due to hypoxia or circulatory compromise. Respiratory changes (
C), including tachypnea or retractions, are significant manifestations of stress or pulmonary involvement in neonatal conditions like asphyxia.
Extract:
Newborn who is 32 hours old and has a cephalohematoma.
Question 2 of 5
A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?
Correct Answer: C
Rationale: A bilirubin level of 14.0 mg/dL is above the newborn normal range of 1.0 to 12.0 mg/dL. This indicates hyperbilirubinemia, commonly seen due to red blood cell breakdown in cephalohematoma.
Extract:
Parents of a newborn with an uncircumcised penis.
Question 3 of 5
A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Daily washing with mild soap and water ensures proper hygiene and prevents infection. This method maintains cleanliness without causing harm to sensitive tissues.
Extract:
Client reports intermittent dark brown vaginal discharge for the past three days.
Question 4 of 5
A client reports an intermittent dark brown vaginal discharge for the past three days. What should the nurse do?
Correct Answer: A
Rationale: Molar pregnancy often manifests as intermittent dark brown vaginal discharge due to trophoblastic tissue expulsion. It warrants assessment as it correlates with hCG elevation and abnormal placental development.
Extract:
Client reports feeling well, findings include: General: No acute distress. Cardiovascular: No murmur or rub. Respiratory: Bilateral breath sounds clear. Abdomen: Fundal height 38 cm. Genitourinary: Purulent cervical discharge.
Question 5 of 5
A nurse conducts a physical exam of a client who reports feeling well. Which finding requires clinical intervention?
Correct Answer: E
Rationale: Purulent cervical discharge suggests an ongoing infection, likely bacterial cervicitis. It reflects leukocyte accumulation due to pathogenic invasion, requiring clinical intervention to prevent complications.