ATI RN MATERNAL NEWBORN PRACTICE / MATERNAL NEWBORN ATI 2019 PRACTICE EXAM 2019 EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI RN MATERNAL NEWBORN PRACTICE /

MATERNAL NEWBORN ATI 2019 PRACTICE EXAM

2019 EXAM TEST BANK 200 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH RATIONALES

(VERIFIED ANSWERS) |ALREADY GRADED A+

A nurse is assessing a 12 hr old newborn and notes a resp rate of

44 with shallow respirations and periods of apnea lasting up to

10 seconds. What action should the nurse take?

a. continue routine monitoring

b. place newborn prone

c. request a script for supplemental o2

d. perform chest percussion - ANSWER- a. continue routine

monitoring

Rationale: The nurse should continue routine monitoring

because the newborn's assessments findings indicate he is

adapting to extrauterine life.

placing in sidelying or supine

A nurse is caring for a client who reports intestinal gas pain

following a c-section. What action should the nurse take?

a. encourage client to drink carbonated beverages

b. instruct the client to splint the incision with a pillow

c. have the client drink fluids through a straw

d. assist the client to ambulate in the hallway - ANSWER- d.

assist the client to ambulate in the hallway

Rationale: Walking can help stimulate peristalsis, which will

promote expulsion of gas.

A nurse is caring for a newborn who is premature at 30 wks

gestation. What finding should the nurse expect?

a. heel creases covering the bottom of the feet

b. good flexion

c. abundant lanugo

d. dry, parchment-like skin - ANSWER- c. abundant lanugo

Rationale: Newborns who are premature have abundant

lanugo, fine hair, especially over their back. A full-term

newborn typically has minimal lanugo present only on the

shoulders, pinnas, and forehead.

A nurse is assessing a newborn 1 hr after birth. What assessment

findings should the nurse report to the provider?

a. acrocyanosis

b. jaundice of the sclera

c. resp rate 50

d. cbg 60 - ANSWER- b. jaundice of the sclera

Rationale: If the newborn has jaundice within the first 24 hr

of life, this can indicate a potential pathological process such

as hemolytic disease. Pathologic jaundice can result in high

levels of bilirubin that can cause damage to the neonatal

brain.

A nurse is providing teaching to the parents of a newborn about

bottle feeding. What instructions should the nurse include?

a. discard unused refrigerated formula after 72 hrs

b. prop the bottle with a blanket for the last feeding of the day

c. dilute ready-to-feed formula if the newborn is gaining wt too

quickly

d. boil water for powdered formula for 1-2 min - ANSWER- d.

boil water for powdered formula for 1-2 min

Rationale: The parents should run tap water for 2 min and

then boil it for 1 to 2 min before mixing it with the formula

to decrease the risk of contamination.

A nurse is caring for a client who is to receive a continuous IV

infusion of oxytocin following a vaginal birth. What assessment

findings should the nurse monitor to evaluate the effectiveness

of the med?

a. pulse rate

b. bp

c. fundal consistency

d. output - ANSWER- c. fundal consistency

Rationale: Oxytocin is a smooth muscle relaxant that causes

contraction of the uterus. The nurse should palpate the

uterine fundus to determine consistency or tone to determine

if the medication is effective.

A nurse is caring for a newborn who is premature in the neonatal

ICU. what action should the nurse take to promote

development?

a. discourage the use of pacifiers

b. position the naked newborn on the parents bare chest

c. provide frequent periods of visual and auditory stimulation

d. rapidly advance oral feedings - ANSWER- b. position the

naked newborn on the parents bare chest

A nurse is caring for a postpartum client 8hrs after delivery.

What factors place the client at risk for uterine atony? select all