ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Newborn at risk for HIV, weighing 3000 grams.
Question 1 of 5
Zidovudine oral solution 24 mg/kg PO BID has been ordered for a newborn at risk for HIV. On hand is 3000 grams. Calculate the amount to be administered in ml per dose.
Correct Answer: B
Rationale: Calculation: 3000 g = 3 kg; 3 kg x 24 mg = 72 mg; 72 mg ÷ (50 mg/5 ml) = 1.2 ml.
Extract:
Newborn delivered via cesarean 1 hour ago, jittery, lethargic, poor feeding, poor suck, jaundice, loose stool, bilirubin 15 mg/dL, glucose 45 mg/dL.
Question 2 of 5
Which of the following interventions should the nurse prioritize for this newborn? Select all that apply.
Correct Answer: A,B,D
Rationale: A: Phototherapy treats jaundice. B: IV dextrose corrects hypoglycemia. D: Frequent feeding reduces bilirubin and stabilizes glucose.
Extract:
Question 3 of 5
A nurse is aware that which type of heat loss in newborns occurs through direct contact with a cooler surface?
Correct Answer: A
Rationale: Conduction heat loss occurs via direct contact with a cooler surface, like a cold mattress.
Extract:
Rh-negative client.
Question 4 of 5
A nurse is caring for a client who is Rh negative. Which of the following findings would cause the nurse to administer Rh immunoglobulin?
Correct Answer: B
Rationale: Rh immunoglobulin prevents antibody formation in Rh-negative mothers with Rh-positive newborns.
Extract:
Postpartum client who delivered vaginally, saturated 6 perineal pads with bright red blood and small clots in one hour.
Question 5 of 5
A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is:
Correct Answer: A
Rationale: A macrosomic baby causes uterine overstretching, increasing the risk of postpartum hemorrhage.