ATI RN Maternal Newborn 2023 IV | Nurselytic

Questions 35

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ATI RN Maternal Newborn 2023 IV Questions

Extract:

A nurse is assessing the newborn of a client who reports methadone use during pregnancy.


Question 1 of 5

Which of the following manifestations should the nurse expect the newborn to exhibit?

Correct Answer: D

Rationale: Poor feeding is a common sign of neonatal abstinence syndrome (NAS) from maternal methadone use, reflecting withdrawal effects on feeding ability.

Extract:

A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Collecting hemoglobin and hematocrit levels assesses the extent of blood loss first, guiding further interventions for potential postpartum hemorrhage.

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

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Puncturing the lateral heel minimizes nerve damage and ensures a good blood sample, standard for heel sticks in newborns.

Extract:

A nurse is assessing a client who is 1 hr postpartum.


Question 4 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: A boggy fundus indicates uterine atony, a risk for hemorrhage, requiring immediate reporting. Other findings are normal at 1 hr postpartum.

Extract:

A nurse is reviewing the medical record of a newborn who is 24 hr old.


Question 5 of 5

Which of the following findings requires intervention?

Correct Answer: C

Rationale: Central cyanosis indicates poor oxygenation, requiring immediate intervention. Other findings are within normal newborn limits.

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