ATI OB EXAM 1 questions with complete solutions 2023

ATI OB EXAM 1 questions with complete solutions 2023a 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 ` 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 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 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 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 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 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 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 b. i should remove the yellow mucus that will form c. I will clean his penis w/ each diaper change d. I will give him a tub bath within a couple days C the penis should be cleaned w/ warm water w/ each diaper change a nurse is caring for a NB 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 NB in prone position c. apply petroleum gauze to the site d. avoid changing the diaper until the first void C petroleum gauze is applied to the site for 24 hr to prevent the skin edges from sticking to the diaper a nurse is reviewing car seat safety w/ the parents of a NB. Which of the following instructions should the nurse include in the teaching regarding car seat positions? a. front seat, rear-facing b. front seat, forward-facing c. back seat, rear-facing d. back seat, forward-facing C a nurse is giving instructions to a mother about how to BF her newborn. Which of the following indicates understanding of the teaching? a. the mother places a few drops of water on her nipple before feeding b. the mother gently removes the nipple from infant's mouth to break suction c. when she is ready to bf the mother gently strokes the NB's neck w / her finger d. when latched on, the infant's nose, cheek, and chin are touching breast D effective latching on includes the infant, nose, cheek, and chin touching the mother's breast a nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide? a. burp the NB at the end of feeding b. hold the NB close in a supine position c. keep the nipple full of formula throughout the feeding C the nipple should always be kept full of formula to prevent the NB from sucking in air during the feeding a nurse is caring for a NB. what of the following actions by the NB indicate readiness to feed? a. spits up clear mucus b. attempts to place his hand in his mouth c. turns his head towards sound d. lies quietly with his eyes open B. readiness to feed cues include the NB making hand-to-mouth and hand-to-hand movements, sucking motions , rooting, and mouthing