ATI OB EXAM 1
1. 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
2. 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
,3. 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
4. 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
,5. a nurse is teaching a newly licensed nurse about neonatal abstinence
syn- drome. 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
6. 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
7. 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 contraindi- cation 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
8. a nurse is providing discharge teaching to the parents of a NB regarding
cir- cumcision 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
1. 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
2. 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
,3. 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
4. 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
,5. a nurse is teaching a newly licensed nurse about neonatal abstinence
syn- drome. 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
6. 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
7. 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 contraindi- cation 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
8. a nurse is providing discharge teaching to the parents of a NB regarding
cir- cumcision 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
