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“ATI MATERNAL NEWBORN PRACTICE
QUESTION REFRESHER EXAM ”LATEST EXAM
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
ATI Maternal Newborn Practice Question Refresher
A nurse is assisting with the care of a newborn immediately following birth.
Which of the following nursing interventions is the highest priority?
Initiating breastfeeding
Preforming the initial bath
Giving a vitamin k injection
Covering the newborn's head with a cap
Covering the newborn's head with a cap
Rationale: The greatest risk to the newborn is cold stress. Therefore the highest
priority intervention is to prevent heat loss. Covering the newborn's head with a cap
prevents cold stress due to excessive evaporative heat loss.
Thermoregulation provides a neutral thermal environment that helps a newborn
maintain a normal cor temperature with minimal oxygen consumption and caloric
expenditure. A newborn has a relatively large surface-to-weight ratio, reduced
metabolism per unit area, blood vessels close to the surface, and small amounts of
insulation.
A nurse is reinforcing discharge teaching to the parents of a newborn
regarding circumcision care. Which of the following statements made by a
parent indicates an understanding of the teaching?
"The circumcision will heal within a couple of days."
"I should remove the yellow mucous that will form."
"I will clean the penis with each diaper change."
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"I will give him a tub bath within a couple of days."
"I will clean the penis with each diaper change."
Rationale: the penis should be cleaned with warm water each diaper change.
A nurse is assisting with the care of an infant who has high bilirubin level and
is receiving phototherapy. Which of the following findings is the priority for the
nurse to report to the charge nurse?
Conjunctivitis
Bronze skin discoloration
Sunken fontanels
Maculopapular skin rash
Sunken fontanels
Rationale: using the safety and risk reduction framework, sunken fontanels is the
priority finding. Infants receiving phototherapy are at risk for dehydration from loose
stools due to increased bilirubin excretion.
A nurse is assisting with the care of a newborn who is preterm and has
respiratory distress syndrome. Which of the following should the nurse
monitor to evaluate the newborn's condition following administration of
synthetic surfactant?
Oxygen saturation
Body temperature
Serum bilirubin
Heart rate
Oxygen saturation
Rationale: surfactant stabilizes the aveoli and helps increase oxygen saturation.
A nurse concludes that the parent of a newborn is not showing positive
indications of parent infant bonding the parent appears very anxious and
nervous when asked to bring the newborn to the other parent. Which of the
following actions should the nurse use to promote parent infant bonding?
Hand rh parent the newborn and suggest that they change the diaper.
Ask the parent why they are so anxious and nervous.
Tell the parent they will grow accustomed to the newborn.
Provide reinforcement about infant care when the parent is present.
Provide reinforcement about infant care when the parent is present.
Rationale: Nursing interventions to promote paternal bonding include providing
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education about newborn care and encouraging the parent to take a hands on
approach.
A nurse is assisting with caring for a client who is postpartum. Which of the
following maternal characteristics should the nurse identify as the taking in
phase of maternal postpartum adjustment.
The client is excited and talkative.
The client is independent with caring for baby.
The client requires assistance with meeting basic needs.
The client is eager to learn new task.
The client is desiring to take charge of their care.
The client requires assistance with meeting basic needs.
Rationale: during the taking in phase of postpartum maternal adjustment, the client is
dependent among others with meeting basic needs.
A nurse is assisting with caring for a client who is 1 day postpartum. The
nurse is collecting data for maternal adaption and parent-infant bonding.
Which of the following behsviors by the client indicates a need for the nurse to
intervene? (Select all that apply).
Demonstrates apathy when the newborn cries.
Rationale: This behavior demonstrates a lack of interest in the newborn and
impaired parent-infant bonding.
Touches the newborn and maintains close physical proximity.
Views the newborns behavior as uncooperative during diaper changing.
Rationale: a client's view of their newborn as being uncooperative during
diaper changing as a sign of impaired parent-infant bonding.
Identifies and relates newborn's characteristics to those of family members.
Interpret the newborns' behaviors as meaningful and a way of expressing
needs
Demonstrates apathy when the newborn cries.
Views the newborns behavior as uncooperative during diaper changing.
Rationale: This behavior demonstrates a lack of interest in the newborn and impaired
parent-infant bonding.
A client's view of their newborn as being uncooperative during diaper changing as a
sign of impaired parent-infant bonding.
A nurse in a labor and delivery unit is caring for a client who is in the second
stage of labor. Which of the following actions should the nurse take?
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Encourage the client to frequently change positions.
Instruct the client to take breaths and hold them for 10 seconds while pushing
Assess maternal vital signs every 1 hour
Assist the client to the restroom
Encourage the client to frequently change positions.
Rationale: During the second stage, frequent position changes can promote the
descent of the fetus through the birth canal. The nurse should assist the client in
finding optimal positions of comfort which allow the client to rest between
contractions bit also enhance expulsive efforts.
A nurse is caring for a client who is in the first trimester of pregnancy and
reports daily nausea that interferes with her ability to work. Which of the
following dietary supplements should the nurse recommended to help
alleviate the client's nausea?
Vitamin B6
Vitamin C
Vitamin B12
Vitamin D
Vitamin B6
Rationale: Vitamin B6 is essential for carbohydrates, protein, and fat metabolism.
Doses of 10 to 25 mg can help alleviate nausea in the first trimester of pregnancy.
A nurse is preparing to perform a heel stick on a newborn. Which of the
following actions should the nurse take?
Don sterile gloves prior to puncturing the newborn's heel
Puncture the center aspect of the newborn's heel
Elevate the newborn's heel prior to the procedure
Warm the heel with a warm washcloth prior to the procedure
Warm the heel with a warm washcloth prior to the procedure
Rationale: the nurse should warm the heel with a warm washcloth for 5 to 10
minutes prior to the procedure to enhance blood flow to the heel.
A nurse is collecting data from a newborn. Which of the following finding
should the nurse report to the provider?
Anterior fontanel of 5 cm
Central cyanosis
“ATI MATERNAL NEWBORN PRACTICE
QUESTION REFRESHER EXAM ”LATEST EXAM
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
ATI Maternal Newborn Practice Question Refresher
A nurse is assisting with the care of a newborn immediately following birth.
Which of the following nursing interventions is the highest priority?
Initiating breastfeeding
Preforming the initial bath
Giving a vitamin k injection
Covering the newborn's head with a cap
Covering the newborn's head with a cap
Rationale: The greatest risk to the newborn is cold stress. Therefore the highest
priority intervention is to prevent heat loss. Covering the newborn's head with a cap
prevents cold stress due to excessive evaporative heat loss.
Thermoregulation provides a neutral thermal environment that helps a newborn
maintain a normal cor temperature with minimal oxygen consumption and caloric
expenditure. A newborn has a relatively large surface-to-weight ratio, reduced
metabolism per unit area, blood vessels close to the surface, and small amounts of
insulation.
A nurse is reinforcing discharge teaching to the parents of a newborn
regarding circumcision care. Which of the following statements made by a
parent indicates an understanding of the teaching?
"The circumcision will heal within a couple of days."
"I should remove the yellow mucous that will form."
"I will clean the penis with each diaper change."
, Page 2 of 44
"I will give him a tub bath within a couple of days."
"I will clean the penis with each diaper change."
Rationale: the penis should be cleaned with warm water each diaper change.
A nurse is assisting with the care of an infant who has high bilirubin level and
is receiving phototherapy. Which of the following findings is the priority for the
nurse to report to the charge nurse?
Conjunctivitis
Bronze skin discoloration
Sunken fontanels
Maculopapular skin rash
Sunken fontanels
Rationale: using the safety and risk reduction framework, sunken fontanels is the
priority finding. Infants receiving phototherapy are at risk for dehydration from loose
stools due to increased bilirubin excretion.
A nurse is assisting with the care of a newborn who is preterm and has
respiratory distress syndrome. Which of the following should the nurse
monitor to evaluate the newborn's condition following administration of
synthetic surfactant?
Oxygen saturation
Body temperature
Serum bilirubin
Heart rate
Oxygen saturation
Rationale: surfactant stabilizes the aveoli and helps increase oxygen saturation.
A nurse concludes that the parent of a newborn is not showing positive
indications of parent infant bonding the parent appears very anxious and
nervous when asked to bring the newborn to the other parent. Which of the
following actions should the nurse use to promote parent infant bonding?
Hand rh parent the newborn and suggest that they change the diaper.
Ask the parent why they are so anxious and nervous.
Tell the parent they will grow accustomed to the newborn.
Provide reinforcement about infant care when the parent is present.
Provide reinforcement about infant care when the parent is present.
Rationale: Nursing interventions to promote paternal bonding include providing
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education about newborn care and encouraging the parent to take a hands on
approach.
A nurse is assisting with caring for a client who is postpartum. Which of the
following maternal characteristics should the nurse identify as the taking in
phase of maternal postpartum adjustment.
The client is excited and talkative.
The client is independent with caring for baby.
The client requires assistance with meeting basic needs.
The client is eager to learn new task.
The client is desiring to take charge of their care.
The client requires assistance with meeting basic needs.
Rationale: during the taking in phase of postpartum maternal adjustment, the client is
dependent among others with meeting basic needs.
A nurse is assisting with caring for a client who is 1 day postpartum. The
nurse is collecting data for maternal adaption and parent-infant bonding.
Which of the following behsviors by the client indicates a need for the nurse to
intervene? (Select all that apply).
Demonstrates apathy when the newborn cries.
Rationale: This behavior demonstrates a lack of interest in the newborn and
impaired parent-infant bonding.
Touches the newborn and maintains close physical proximity.
Views the newborns behavior as uncooperative during diaper changing.
Rationale: a client's view of their newborn as being uncooperative during
diaper changing as a sign of impaired parent-infant bonding.
Identifies and relates newborn's characteristics to those of family members.
Interpret the newborns' behaviors as meaningful and a way of expressing
needs
Demonstrates apathy when the newborn cries.
Views the newborns behavior as uncooperative during diaper changing.
Rationale: This behavior demonstrates a lack of interest in the newborn and impaired
parent-infant bonding.
A client's view of their newborn as being uncooperative during diaper changing as a
sign of impaired parent-infant bonding.
A nurse in a labor and delivery unit is caring for a client who is in the second
stage of labor. Which of the following actions should the nurse take?
, Page 4 of 44
Encourage the client to frequently change positions.
Instruct the client to take breaths and hold them for 10 seconds while pushing
Assess maternal vital signs every 1 hour
Assist the client to the restroom
Encourage the client to frequently change positions.
Rationale: During the second stage, frequent position changes can promote the
descent of the fetus through the birth canal. The nurse should assist the client in
finding optimal positions of comfort which allow the client to rest between
contractions bit also enhance expulsive efforts.
A nurse is caring for a client who is in the first trimester of pregnancy and
reports daily nausea that interferes with her ability to work. Which of the
following dietary supplements should the nurse recommended to help
alleviate the client's nausea?
Vitamin B6
Vitamin C
Vitamin B12
Vitamin D
Vitamin B6
Rationale: Vitamin B6 is essential for carbohydrates, protein, and fat metabolism.
Doses of 10 to 25 mg can help alleviate nausea in the first trimester of pregnancy.
A nurse is preparing to perform a heel stick on a newborn. Which of the
following actions should the nurse take?
Don sterile gloves prior to puncturing the newborn's heel
Puncture the center aspect of the newborn's heel
Elevate the newborn's heel prior to the procedure
Warm the heel with a warm washcloth prior to the procedure
Warm the heel with a warm washcloth prior to the procedure
Rationale: the nurse should warm the heel with a warm washcloth for 5 to 10
minutes prior to the procedure to enhance blood flow to the heel.
A nurse is collecting data from a newborn. Which of the following finding
should the nurse report to the provider?
Anterior fontanel of 5 cm
Central cyanosis
