ATI RN
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.