ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Vacuum extraction birth
Question 1 of 5
While assisting with a vacuum extraction birth, what should the nurse immediately report to the physician?
Correct Answer: D
Rationale: Persistent fetal bradycardia below 100 bpm indicates potential fetal distress, requiring immediate reporting to ensure fetal safety.
Extract:
Woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday, orders for perineal ice packs, sitz bath, stool softener
Question 2 of 5
A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her primary health care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool softener. What information is most closely correlated with these orders?
Correct Answer: C
Rationale: An episiotomy correlates with orders for ice packs, sitz baths, and stool softeners, as these address pain and healing of the perineal incision.
Extract:
Male newborn, genitalia assessment
Question 3 of 5
The nurse is inspecting a male newborn's genitalia. Which action should the nurse avoid when conducting this assessment?
Correct Answer: B
Rationale: Retracting the foreskin over the glans should be avoided as it can cause pain, bleeding, and infection in the newborn. The foreskin is usually adhered to the glans and should not be forcibly retracted.
Extract:
Infant being weighed
Question 4 of 5
The correct answer is choice A, which is to ensure that conductive heat loss from the infant is minimal
Correct Answer: A
Rationale: A covering on the scale tray minimizes conductive heat loss by preventing direct contact with the cold scale surface, critical for maintaining the infant's temperature.
Extract:
During vaginal delivery, newborn's head emerges
Question 5 of 5
During a vaginal delivery, the first thing a nurse must ensure when the head comes out is that the midwife or doctor checks that
Correct Answer: C
Rationale: Checking for a nuchal cord (cord around the neck) is critical to prevent compression, which could reduce blood flow and oxygen to the baby.