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ATI RN MATERNAL NEWBORN 2023 EXAM
WITH DETAILED CORRECT ANSWERS
PROVIDES ACTUAL TIPS ON EXAM SAT ON 2025
A nurse is caring for a newborn immediately following delivery. What actions should the nurse
take first?
a. place the newborn directly on the client's chest
b. administer erythromycin ophthalmic ointment
c. give the newborn vit K IM
d. perform a detailed physical assessment -ANS-a. place the newborn directly on the client's
chest
the greatest risk to the newborn is cold stress, which increases the need for oxygen and glucose.
Placing the newborn directly on the client's chest will help maintain the newborn's
temperature.
A nurse is providing teaching to the parents of a newborn about home safety. What statement
by the parents indicates an understanding of the teaching?
a. I will use an infant carrier when I drive to places close to the house
b. I will tie my baby's pacifier around his neck with a piece of yarn
c. I will place my baby on his back when it is time for him to sleep
d. I will keep my babys crib close to heat vents to keep him warm -ANS-c. I will place my baby
on his back when it is time for him to sleep
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A nurse is assessing a newborn 1 min after birth andnotes a hr of 136/min, resp 36, well flexed
extremities, responding to stimuli with a cry, blue hands and feet. What Apgar score should the
nurse assign to the newborn?
a. 10
b. 9
c. 8
d. 7 -ANS-b. 9
A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal laceration.
The client's temp is 37.8 C (100F), her fundus is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulates and no bm since delivery. What action should the
nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
d. assist the client to empty her bladder -ANS-d. assist the client to empty her bladder
When the client's fundus is deviated to the right or left it can indicate that her bladder is full.
The nurse should assist the client to empty her bladder to prevent uterine atony and excessive
lochia.
A nurse is preparing to administer morphine oral solution 0.04 mg/kg to a newborn who weighs
2.5kg. The amount available is 0.4 mg/ml. how many ml should the nurse administer? -ANS-
0.25
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
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c. request a script for supplemental o2
d. perform chest percussion -ANS-a. continue routine monitoring
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 -ANS-d. assist the client to ambulate in the
hallway
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 -ANS-c. abundant lanugo
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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 -ANS-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 -ANS-d. boil water for powdered formula for 1-
2 min
A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What
meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
ATI RN MATERNAL NEWBORN 2023 EXAM
WITH DETAILED CORRECT ANSWERS
PROVIDES ACTUAL TIPS ON EXAM SAT ON 2025
A nurse is caring for a newborn immediately following delivery. What actions should the nurse
take first?
a. place the newborn directly on the client's chest
b. administer erythromycin ophthalmic ointment
c. give the newborn vit K IM
d. perform a detailed physical assessment -ANS-a. place the newborn directly on the client's
chest
the greatest risk to the newborn is cold stress, which increases the need for oxygen and glucose.
Placing the newborn directly on the client's chest will help maintain the newborn's
temperature.
A nurse is providing teaching to the parents of a newborn about home safety. What statement
by the parents indicates an understanding of the teaching?
a. I will use an infant carrier when I drive to places close to the house
b. I will tie my baby's pacifier around his neck with a piece of yarn
c. I will place my baby on his back when it is time for him to sleep
d. I will keep my babys crib close to heat vents to keep him warm -ANS-c. I will place my baby
on his back when it is time for him to sleep
,2|Page
A nurse is assessing a newborn 1 min after birth andnotes a hr of 136/min, resp 36, well flexed
extremities, responding to stimuli with a cry, blue hands and feet. What Apgar score should the
nurse assign to the newborn?
a. 10
b. 9
c. 8
d. 7 -ANS-b. 9
A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal laceration.
The client's temp is 37.8 C (100F), her fundus is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulates and no bm since delivery. What action should the
nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
d. assist the client to empty her bladder -ANS-d. assist the client to empty her bladder
When the client's fundus is deviated to the right or left it can indicate that her bladder is full.
The nurse should assist the client to empty her bladder to prevent uterine atony and excessive
lochia.
A nurse is preparing to administer morphine oral solution 0.04 mg/kg to a newborn who weighs
2.5kg. The amount available is 0.4 mg/ml. how many ml should the nurse administer? -ANS-
0.25
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
,3|Page
c. request a script for supplemental o2
d. perform chest percussion -ANS-a. continue routine monitoring
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 -ANS-d. assist the client to ambulate in the
hallway
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 -ANS-c. abundant lanugo
, 4|Page
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 -ANS-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 -ANS-d. boil water for powdered formula for 1-
2 min
A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What
meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
