Maternal Newborn Nursing ATI Exam 2023/2024 QUESTIONS WITH VERIFIED SOLUTIONS

Maternal Newborn Nursing ATI Exam 2023/2024 QUESTIONS WITH VERIFIED SOLUTIONS A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following? a.) Low birth weight b.) appropriate for gestational age c.) small for gestational age d.) large for gestational age --- Answer: b.) appropriate for gestational age A nurse is completing a newborn assessment and observes small pearly white nodules on the roof of the newborns mouth. This finding is a characteristic of which of the following conditions? a.) Mongolian spots b.) Milia spots c.) erythema toxicum d.) Epstein's pearls – -- Answer: d.) Epstein's pearls A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following? a.) Hold the newborn vertically under arms and allow 1 foot to touch table b.) Stimulate the pads of the newborns hands with stroking or massage c.) Stimulate the soles of the newborns feet on the outer lateral surface of each foot d.) Hold the newborn in a semi-sitting position, then allow the newborns head and truck to fall backward --- Answer: d.) Hold the newborn in a semi-sitting position, then allow the newborns head and truck to fall backward A nurse is completing an assessment. Which of the following data indicate the newborn is adapting to the extrauterine life? (select all that apply) a.) expiratory grunting b.) inspiratory nasal flaring c.) apnea for 10-second periods d.) obligatory nose breathing e.) crackles and wheezing --- Answer(s): c.) apnea for 10-second periods d.) obligatory nose breathing A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish brown marking across the newborns lower back. The nurse should include which of the following information in the teaching? a.) "This is more commonly seen in newborns who have dark skin" b.) "This is a finding indicating hyperbilirubinemia" c.) "This is a forceps mark from an operative delivery" d.) "This is related to prolonged birth or trauma during delivery" --- Answer: a.) "This is more commonly seen in newborns who have dark skin" A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering? a.) Ofloxacin b.) Nystatin c.) Erythromycin d.) Ceftriaxone --- Answer: c.) Erythromycin A newborn was not dried completely after birth. This places the infant at risk for which of the following types of heat loss? a.) conduction b.) convection c.) evaporation d.) radiation --- Answer: c.) evaporation A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority? a.) initiating breastfeeding b.) performing the initial bath c.) giving a vitamin K injection d.) covering the newborns head with a cap --- Answer: d.) covering the newborns head with a cap A nurse is preparing to administer a vitamin K (phytonadione) injection to a newborn. Which of the following responses should the nurse make to the newborns parent regarding why this medication is given? a.) "it assists with blood clotting" b.) "it promotes maturation of the bowel" c.) "it is a preventative vaccine" d.) "it provides immunity" --- Answer: a.) "it assists with blood clotting" A nurse is taking a newborn to a parent following a circumcision. Which of the following actions should the nurse take for security purposes? a.) ask the parent to state their full name b.) look at the name on the newborns bassinet c.) match the parent's identification band with the newborns band d.) compare name on bassinet and room number --- Answer: c.) match the parent's identification band with the newborns band A nurse is giving instructions to a parent about how to breast-feed their newborn. Which of the following actions by the parent indicates an understanding of the teaching? a.) The parent places a few drops of water on their nipple before feeding b.) The parent gently removes their nipple from the infants mouth to break the suction c.) When they are ready to breast-feed, the parent gently strokes the newborn neck with a finger d.) When latched on, the infants nose, cheek, and chin are touching the breast --- Answer: d.) When latched on, the infants nose, cheek, and chin are touching the breast A nurse is teaching a group of new parents about proper techniques for bottlefeeding. Which of the following instructions should the nurse provide? a.) Burp the newborn at the end of the feeding b.) Hold the newborn close in a supine position c.) Keep the nipple full of formula throughout the feeding d.) Refrigerate any unused formula --- Answer: c.) keep the nipple full of formula throughout the feeding A nurse is caring for a newborn. Which of the following actions by the newborn indicates readiness to feed? a.) Spits up clear mucus b.) Attempts to place their hand in their mouth c.) Turns the head toward sounds d.) Lies quietly with their eyes open --- Answer: b.) Attempts to place their hand in their mouth A nurse is reviewing formula preparation with parents who plan to bottle feed their newborn. Which of the following information should the nurse include in the teaching? (Select all that apply) a.) Use a disinfectant wipe to clean the lid of the formula can b.) Store prepared formula in the refrigerator for up to 72 hours c.) Place used bottles in the dishwasher d.) Check the nipple for appropriate flow of formula e.) Use tapwater to dilute concentrated formula --- Answer(s): c.) Place used bottles in the dishwasher d.) Check the nipple for appropriate flow of formula e.) Use tapwater to dilute concentrated formula A nurse is reviewing breast-feeding positions with the parent of a newborn. Which of the following positions should the nurse discuss? a.) over-the-shoulder b.) supine c.) chin-supported d.) cradle --- Answer: d.) cradle A nurse is reviewing care of the umbilical cord with a parent of a newborn. Which of the following instructions should the nurse include in the teaching? a.) Cover the cord with a small gauze square b.) Trickle clean water over the cord with each diaper change c.) Apply hydrogen peroxide to the cord twice a day d.) Keep the diaper folded below the cord --- Answer: d.) keep the diaper folded below the cord A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (Select all that apply) a.) hypospadias b.) hydrocele c.) family history of hemophilia d.) hyperbilirubinemia e.) epispadias --- Answer(s): a.) hypospadias c.) family history of hemophilia e.) epispadias A nurse is providing discharge teaching to the parent of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? a.) "the circumcision will heal within a couple days" b.) "I should remove the yellow mucus that will form" c.) "I will clean the penis with each diaper change" d.) "I will give him a tub bath within a couple of days" --- Answer: c.) "I will clean the penis with each diaper change" A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement? a.) Apply gelfoam powder to the site b.) Place the newborn in the prone position c.) Apply petroleum gauze to the site d.) Avoid changing the diaper until the first voiding --- Answer: c.) Apply petroleum gauze to the site A nurse is reviewing car seat safety with parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position? a.) front seat, rear-facing b.) front seat, forward-facing c.) back seat, rear-facing d.) back seat, forward-facing --- Answer: c.) back seat, rear-facin