RN MATERNAL NEWBORN ATI PROCTORED
NEWEST 2024-2025 ACTUAL EXAM COMPLETE 280
FREQUENTLY TESTED QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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
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
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d. cbg 60 - ANSWER- b. jaundice of the sclera
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
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
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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
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
a. oxytocin infusion
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b. prolonged labor
c. mag sulfate infusion
d. small for gestational age newborn
e. distended bladder - ANSWER- b. prolonged labor
Prolonged labor can stretch out the musculature of the uterus
and cause fatigue, which prevents the uterus from contracting.
c. mag sulfate infusion
Magnesium sulfate is a smooth muscle relaxant and can
prevent adequate contraction of the uterus.
e. distended bladder
After birth, clients can experience a decreased urge to void due
to birth-induced trauma, increased bladder capacity, and
anesthetics, which can result in a distended bladder. The
distended bladder displaces the uterus and can prevent
adequate contraction of the uterus.
A nurse is assessing a newborn for congenital hip dysplasia.
What finding should the nurse expect?
a. temp of one leg differing from that of the other
b. symmetrical gluteal folds
c. limited abduction of one hip
d. legs that are shorter than the arms - ANSWER- c. limited
abduction of one hip
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