ATI OB EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS
a nurse is caring for a pt. who is 42 wks. gestation and in labor. The pt.
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asks the nurse what should the nurse expect because her baby is post-
| | | | | | | | | | | |
mature. Which of the following statements should the nurse make?
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a. your baby will have excess body fat
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b. your baby will have flat areola w/o breast buds
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c. your baby heels will easily move to the ears
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d. your baby's skin will have a leathery appearance ` - CORRECT
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ANSWER✔✔-D
leathery, cracked, wrinkled skin is seen in a NB who is postmature due
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to placental deficiency
| |
a nurse is caring for an infant who has high bilirubin level and is
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receiving phototherapy. Which of the following is the priority finding in
| | | | | | | | | | |
the newborn? | |
a. conjunctivitis
|
b. bronze skin discolorations
| | |
c. sunken fontanels
| | |
,d. maculopapular skin rash - CORRECT ANSWER✔✔-C
| | | | | |
using safety and risk reduction framework, sunken fontanels are priority
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|finding. Infants receiving phototherapy are at risk for dehydration from
| | | | | | | | | |
loose stools due to increased bilirubin excretion
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a nurse is called to the birthing room to assist w/ the assessment of a
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newborn who was born at 32 weeks gestation. The newborn birth
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weight is 1,100g. Which of the following are expected findings in the
| | | | | | | | | | | |
newborn (SATA) |
a. lanugo
| |
b. long nails
| |
c. weak grasp reflex
| | |
d. translucent skin
| | |
e. plump face - CORRECT ANSWER✔✔-A, C, D
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a. characteristics of a preterm NB include the presence of abundant
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lanugo |
c. a weak grasp reflex is characteristic of a preterm NB
| | | | | | | | | | |
d. skin that is thin, smooth, shiny, and translucent is a finding in a
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preterm NB |
a nurse is caring for a newborn who is preterm and has resp. distress
| | | | | | | | | | | | | |
syndrome. Which of the following should the nurse monitor to evaluate
| | | | | | | | | | |
,the newborn's condition following administration of synthetic
| | | | | | |
surfactant? |
a. oxygen saturation
| | |
b. body temp.
| | |
c. serum bilirubin
| | |
d. HR - CORRECT ANSWER✔✔-A
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surfactant stabilizes the alveoli and helps increase oxygen saturation
| | | | | | | |
a nurse is teaching a newly licensed nurse about neonatal abstinence
| | | | | | | | | | |
syndrome. Which of the following statements by the nurse indicate
| | | | | | | | | |
understanding of the teaching? | | | |
a. the newborn will have decreased muscle tone
| | | | | | |
b. the newborn will have a continuous high-pitched cry
| | | | | | | |
c. the newborn will sleep for 2-3 hours after feeding
| | | | | | | | |
d. the newborn will have mild tremors when disturbed - CORRECT
| | | | | | | | | | |
ANSWER✔✔-B. a continuous high-pitched cry is often an indication of | | | | | | | | | |
CNS disturbance in . newborn who hs neonatal abstinence syndrome
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a nurse is reviewing care of the umbilical cord w/ the parent of a NB.
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Which of the following instructions should the nurse include in the
| | | | | | | | | | |
teaching ? | |
a. cover the cord w/ small gauze square
| | | | | | | |
b. trickle clean water over the cord w/ each diaper change
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, c. apply hydrogen peroxide to the cord twice a day
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d. keep the diaper folded below the cord - CORRECT ANSWER✔✔-D
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folding the diaper below the cord prevents urine from the diaper
| | | | | | | | | | |
penetrating the cord site | | |
a nurse is reviewing contraindications for circumcision w/ a newly hired
| | | | | | | | | | |
nurse. Which of the following conditions are contraindications? (SATA)
| | | | | | | | |
a. hypospadias
|
b. hydrocele
|
c. hx. of hemophilia
| | |
d. hyperbilirubinemia
| |
e. epispadias - CORRECT ANSWER✔✔-A, C, E
| | | | | | |
a. hypospadias involves defect in location of the urethral opening and is
| | | | | | | | | | | |
a contraindication to circumcision
| | | |
c. a family hx. of hemophilia is a contraindication to circumcision
| | | | | | | | | | |
e. epispadias involves a defect in the location of the urethral opening
| | | | | | | | | | | |
and is a contraindication to circumcision
| | | | |
a nurse is providing discharge teaching to the parents of a NB regarding
| | | | | | | | | | | | |
circumcision care. Which of the following statements made by a parent
| | | | | | | | | | |
indicates an understanding of the teaching?
| | | | | |
a. his circumcision will heal within a couple days
| | | | | | | |
COMPLETE SOLUTIONS
a nurse is caring for a pt. who is 42 wks. gestation and in labor. The pt.
| | | | | | | | | | | | | | | | |
asks the nurse what should the nurse expect because her baby is post-
| | | | | | | | | | | |
mature. Which of the following statements should the nurse make?
| | | | | | | | | |
a. your baby will have excess body fat
| | | | | | |
b. your baby will have flat areola w/o breast buds
| | | | | | | | | |
c. your baby heels will easily move to the ears
| | | | | | | | |
d. your baby's skin will have a leathery appearance ` - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-D
leathery, cracked, wrinkled skin is seen in a NB who is postmature due
| | | | | | | | | | | | |
to placental deficiency
| |
a nurse is caring for an infant who has high bilirubin level and is
| | | | | | | | | | | | | |
receiving phototherapy. Which of the following is the priority finding in
| | | | | | | | | | |
the newborn? | |
a. conjunctivitis
|
b. bronze skin discolorations
| | |
c. sunken fontanels
| | |
,d. maculopapular skin rash - CORRECT ANSWER✔✔-C
| | | | | |
using safety and risk reduction framework, sunken fontanels are priority
| | | | | | | | |
|finding. Infants receiving phototherapy are at risk for dehydration from
| | | | | | | | | |
loose stools due to increased bilirubin excretion
| | | | | |
a nurse is called to the birthing room to assist w/ the assessment of a
| | | | | | | | | | | | | | |
newborn who was born at 32 weeks gestation. The newborn birth
| | | | | | | | | | |
weight is 1,100g. Which of the following are expected findings in the
| | | | | | | | | | | |
newborn (SATA) |
a. lanugo
| |
b. long nails
| |
c. weak grasp reflex
| | |
d. translucent skin
| | |
e. plump face - CORRECT ANSWER✔✔-A, C, D
| | | | | | |
a. characteristics of a preterm NB include the presence of abundant
| | | | | | | | | | |
lanugo |
c. a weak grasp reflex is characteristic of a preterm NB
| | | | | | | | | | |
d. skin that is thin, smooth, shiny, and translucent is a finding in a
| | | | | | | | | | | | | |
preterm NB |
a nurse is caring for a newborn who is preterm and has resp. distress
| | | | | | | | | | | | | |
syndrome. Which of the following should the nurse monitor to evaluate
| | | | | | | | | | |
,the newborn's condition following administration of synthetic
| | | | | | |
surfactant? |
a. oxygen saturation
| | |
b. body temp.
| | |
c. serum bilirubin
| | |
d. HR - CORRECT ANSWER✔✔-A
| | | | |
surfactant stabilizes the alveoli and helps increase oxygen saturation
| | | | | | | |
a nurse is teaching a newly licensed nurse about neonatal abstinence
| | | | | | | | | | |
syndrome. Which of the following statements by the nurse indicate
| | | | | | | | | |
understanding of the teaching? | | | |
a. the newborn will have decreased muscle tone
| | | | | | |
b. the newborn will have a continuous high-pitched cry
| | | | | | | |
c. the newborn will sleep for 2-3 hours after feeding
| | | | | | | | |
d. the newborn will have mild tremors when disturbed - CORRECT
| | | | | | | | | | |
ANSWER✔✔-B. a continuous high-pitched cry is often an indication of | | | | | | | | | |
CNS disturbance in . newborn who hs neonatal abstinence syndrome
| | | | | | | | |
a nurse is reviewing care of the umbilical cord w/ the parent of a NB.
| | | | | | | | | | | | | | |
Which of the following instructions should the nurse include in the
| | | | | | | | | | |
teaching ? | |
a. cover the cord w/ small gauze square
| | | | | | | |
b. trickle clean water over the cord w/ each diaper change
| | | | | | | | | | |
, c. apply hydrogen peroxide to the cord twice a day
| | | | | | | | | |
d. keep the diaper folded below the cord - CORRECT ANSWER✔✔-D
| | | | | | | | | |
folding the diaper below the cord prevents urine from the diaper
| | | | | | | | | | |
penetrating the cord site | | |
a nurse is reviewing contraindications for circumcision w/ a newly hired
| | | | | | | | | | |
nurse. Which of the following conditions are contraindications? (SATA)
| | | | | | | | |
a. hypospadias
|
b. hydrocele
|
c. hx. of hemophilia
| | |
d. hyperbilirubinemia
| |
e. epispadias - CORRECT ANSWER✔✔-A, C, E
| | | | | | |
a. hypospadias involves defect in location of the urethral opening and is
| | | | | | | | | | | |
a contraindication to circumcision
| | | |
c. a family hx. of hemophilia is a contraindication to circumcision
| | | | | | | | | | |
e. epispadias involves a defect in the location of the urethral opening
| | | | | | | | | | | |
and is a contraindication to circumcision
| | | | |
a nurse is providing discharge teaching to the parents of a NB regarding
| | | | | | | | | | | | |
circumcision care. Which of the following statements made by a parent
| | | | | | | | | | |
indicates an understanding of the teaching?
| | | | | |
a. his circumcision will heal within a couple days
| | | | | | | |
