ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Newborn symmetrically abducts and extends arms with fingers fanning out and tremor on loud noise
Question 1 of 5
While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with the thumb and forefinger, and he has a slight tremor. The nurse would document this finding as a positive reflex.
Correct Answer: A
Rationale: This description matches the Moro reflex, a normal startle response in newborns to loud stimuli.
Extract:
Newborns in the nursery, one is 18 hr post-delivery with acrocyanosis, another 24 hr post-delivery without meconium, another 24 hr post-delivery with tachycardia (180 bpm), another 24 hr post-delivery without voiding
Question 2 of 5
A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?
Correct Answer: C
Rationale: Persistent tachycardia (180 bpm) may indicate a serious condition like cardiac issues, requiring immediate intervention.
Extract:
Newborn in the nursery, grandmother requests to take newborn to mother's room
Question 3 of 5
A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother's room. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale:
To prevent abduction, only the nurse should transport the newborn after verifying the mother's request.
Extract:
Mother and newborn transferred to postpartum unit from labor and delivery
Question 4 of 5
A mother and her newborn have just been transferred to the postpartum unit from labor and delivery. Which infant safety education would be provided as soon as mom and baby are settled into their room? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Hand hygiene, maintaining ID bands, keeping the infant in sight, and verifying staff identity are critical for newborn safety to prevent infections and abduction.
Extract:
Client experienced a vaginal delivery 16 hr ago
Question 5 of 5
A nurse is caring for a client who experienced a vaginal delivery 16 hr ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: A
Rationale: At 16 hours postpartum, the fundus is typically at the umbilicus level, descending daily thereafter.