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OB MATERNAL NEWBORN ATI PROCTORED 2025 ACTUAL EXAM / MATERNAL NEWBORN OB QUESTIONS WITH CORRECT DETAILED ANSWERS ALREADY GRADED A+ < LATEST VERSION >

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OB MATERNAL NEWBORN ATI PROCTORED 2025 ACTUAL EXAM / MATERNAL NEWBORN OB QUESTIONS WITH CORRECT DETAILED ANSWERS ALREADY GRADED A+ &lt; LATEST VERSION &gt; 1. A need for fetal suctioning can occur after which complication: - answer meconium in the amniotic fluid (may also be benign- requires fetal assessment) 2. If meconium is found in the amniotic fluid, notify: - answer the neonatal resuscitation team to be present at birth 3. An increased risk of meconium in the amniotic fluid occures after: - answer 38 weeks or breech presentation 4. Meconium stained amniotic fluid is often what color: - answer green 5. When bathing a newborn, the nurse monitors for hypothermia. Which signs would indicate hypothermia? - answer pain or mottling, flexed position, increased activity 6. The nurse teaches a new mother how to perform cord care and to monitor for infection at home when the newborn infant is discharged. The nurse tells the mother that which signs indicate the presence of infection? - answer a moist cord with discharge 7. A male newborn infant has just been circumcised. The nurse checks the surgical site, expecting it to have what appearance? - answer reddened, with a small amount of bloody drainage 8. The nurse is providing instructions to a mother of a newborn infant diagnosed with hyperbilirubinemia who is being breast-fed. What feeding procedure should the nurse teach the mother? - answer breast-feed the infant every 2 to 4 hours 9. The nurse observes slight facial jaundice in a 2-day-old, full-term newborn infant during a postpartum home visit. Which assessment guideline should the nurse use to interpret this finding? - answer jaundice is first noticed in the head of the newborn infant, especially the sclera and mucous membranes 10. The nursery-room nurse is reviewing the criteria for early discharge of a newborn infant. Which finding, if noted in the infant, would indicate that the criteria for early discharge have not been met? - answer has evidence of significant jaundice within the first 24 hours 11. The nurse is assessing the respiratory rate of a newborn infant. The nurse determines that the rate is abnormal if which rate is noted? - answer 70 breaths/min 12. The nurse is performing an assessment on a newborn infant admitted to the nursery after birth. On assessment of the newborn's head, the nurse notes an anterior fontanel that is soft and measures 4 cm across. Based on this assessment, what is the appropriate nursing action? - answer document the findings 13. The nurse is reviewing the record of a newborn infant admitted to the nursery and notes that the health care provider has documented the presence of a caput succedaneum. Based on this documentation, what should the nurse expect to note? - answer swelling of the soft tissue of the head and scalp 14. The nurse is admitting a newborn infant to the neonatal intensive care nursery and notes that the health care provider has documented that the newborn has gastroschisis. The nurse performs an assessment being aware that which is the location of the abdominal viscera with this condition? - answer outside of the abdominal cavity and not covered with a sac 15. The nurse is assessing a newborn infant with a diagnosis of congenital diaphragmatic hernia (cdh). Which assessment finding should the nurse specifically expect to note in the newborn? - answer bowel sounds heard over the chest 16. The nurse in the labor room is assisting in performing an initial assessment on a newborn. On assessment of the newborn's head, the nurse notes that the ears are low set. Based on this finding, which nursing action is most appropriate? - answer notify the health care provider 17. After the delivery of a newborn infant, the nurse performs an initial assessment and determines that the apgar score is 9. What does this score indicate about the infant? - answer is adjusting well to extrauterine life 18. A newborn infant is diagnosed with hypospadias, and the mother asks the nurse about the disorder. What information should the nurse base the response on? - answer it is a congenital anomaly in which the actual opening of the urethral meatus is below the normal placement on the glans penis 19. The nurse is reviewing the record of an infant admitted to the newborn nursery. The nurse notes that the health care provider has documented bladder exstrophy. On assessment, what should the nurse expect to note in the infant? - answer the urinary bladder is on the outside of the body 20. The nurse is monitoring the vital signs of a client after delivery of a healthy newborn and notes that the mother's apical pulse is 50 beats/min. Which nursing action is appropriate? - answer document the finding 21. The mother of a preterm baby asks the nurse why the infant is receiving a caffeine-type medication. What should the nurse explain is the purpose of the medication? - answer decrease the number of apnea occurrences 22. The nurse in the newborn nursery is preparing to feed a newborn the first feeding of sterile water. During the feeding, the newborn suddenly begins to cough, choke, and become cyanotic. Based on these symptoms, which condition might the nurse suspect that the newborn has? - answer tracheoesophageal fistula (tef) 23. A newborn is transferred to the neonatal intensive care unit with an admitting diagnosis of esophageal atresia accompanied by a distal tracheoesophageal fistula (tef). What would be the priority physiological problem for the newborn? - answer aspiration 24. Which safety measures should be implemented at delivery and when working in the newborn nursery? Select all that apply. - answer 1. Adhere to standard precautions during delivery and in the nursery 2. The parents should be instructed to not release their newborn infant to anyone wearing improper identification. 3. The mother should be fingerprinted and the infant should be footprints on the identification card before removing the infant from the delivery room 25. The nurse is bathing a neonate and notices small dark tufts of fine hair on the neonate's lower back. Based on this observation, the nurse should take which action? - answer arrange to notify the health care provider of this physical finding 26. The nurse is reviewing the procedure for vitamin k injection in the newborn with a nursing student. Which information should the nurse provide to the student? - answer inject into the skin that has been cleansed thoroughly with alcohol 27. Which nursing interventions should be implemented for a newborn receiving phototherapy? Select all that apply. - answer 1. Monitor the temperature frequently 2. Protect the eyes with an opaque mask 3. Monitor the number and consistency of stools 28. A newborn has just been circumcised. Which postcircumcision interventions should the nurse implement? Select all that apply. - answer

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Subido en
14 de marzo de 2025
Número de páginas
49
Escrito en
2024/2025
Tipo
Examen
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OB MATERNAL NEWBORN ATI
PROCTORED 2025 ACTUAL EXAM /
MATERNAL NEWBORN OB
QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY
GRADED A+
< LATEST VERSION >




1. A need for fetal suctioning can occur after which complication: - answer 🗸
meconium in the amniotic fluid
(may also be benign- requires fetal assessment)


2. If meconium is found in the amniotic fluid, notify: - answer 🗸 the neonatal
resuscitation team to be present at birth


3. An increased risk of meconium in the amniotic fluid occures after: - answer
🗸 38 weeks or breech presentation

,4. Meconium stained amniotic fluid is often what color: - answer 🗸 green


5. When bathing a newborn, the nurse monitors for hypothermia. Which signs
would indicate hypothermia? - answer 🗸 pain or mottling, flexed position,
increased activity


6. The nurse teaches a new mother how to perform cord care and to monitor for
infection at home when the newborn infant is discharged. The nurse tells the
mother that which signs indicate the presence of infection? - answer 🗸 a
moist cord with discharge


7. A male newborn infant has just been circumcised. The nurse checks the
surgical site, expecting it to have what appearance? - answer 🗸 reddened,
with a small amount of bloody drainage


8. The nurse is providing instructions to a mother of a newborn infant
diagnosed with hyperbilirubinemia who is being breast-fed. What feeding
procedure should the nurse teach the mother? - answer 🗸 breast-feed the
infant every 2 to 4 hours


9. The nurse observes slight facial jaundice in a 2-day-old, full-term newborn
infant during a postpartum home visit. Which assessment guideline should
the nurse use to interpret this finding? - answer 🗸 jaundice is first noticed in
the head of the newborn infant, especially the sclera and mucous membranes


10.The nursery-room nurse is reviewing the criteria for early discharge of a
newborn infant. Which finding, if noted in the infant, would indicate that the
criteria for early discharge have not been met? - answer 🗸 has evidence of
significant jaundice within the first 24 hours

,11.The nurse is assessing the respiratory rate of a newborn infant. The nurse
determines that the rate is abnormal if which rate is noted? - answer 🗸 70
breaths/min


12.The nurse is performing an assessment on a newborn infant admitted to the
nursery after birth. On assessment of the newborn's head, the nurse notes an
anterior fontanel that is soft and measures 4 cm across. Based on this
assessment, what is the appropriate nursing action? - answer 🗸 document the
findings


13.The nurse is reviewing the record of a newborn infant admitted to the
nursery and notes that the health care provider has documented the presence
of a caput succedaneum. Based on this documentation, what should the
nurse expect to note? - answer 🗸 swelling of the soft tissue of the head and
scalp


14.The nurse is admitting a newborn infant to the neonatal intensive care
nursery and notes that the health care provider has documented that the
newborn has gastroschisis. The nurse performs an assessment being aware
that which is the location of the abdominal viscera with this condition? -
answer 🗸 outside of the abdominal cavity and not covered with a sac


15.The nurse is assessing a newborn infant with a diagnosis of congenital
diaphragmatic hernia (cdh). Which assessment finding should the nurse
specifically expect to note in the newborn? - answer 🗸 bowel sounds heard
over the chest


16.The nurse in the labor room is assisting in performing an initial assessment
on a newborn. On assessment of the newborn's head, the nurse notes that the
ears are low set. Based on this finding, which nursing action is most
appropriate? - answer 🗸 notify the health care provider

, 17.After the delivery of a newborn infant, the nurse performs an initial
assessment and determines that the apgar score is 9. What does this score
indicate about the infant? - answer 🗸 is adjusting well to extrauterine life


18.A newborn infant is diagnosed with hypospadias, and the mother asks the
nurse about the disorder. What information should the nurse base the
response on? - answer 🗸 it is a congenital anomaly in which the actual
opening of the urethral meatus is below the normal placement on the glans
penis


19.The nurse is reviewing the record of an infant admitted to the newborn
nursery. The nurse notes that the health care provider has documented
bladder exstrophy. On assessment, what should the nurse expect to note in
the infant? - answer 🗸 the urinary bladder is on the outside of the body


20.The nurse is monitoring the vital signs of a client after delivery of a healthy
newborn and notes that the mother's apical pulse is 50 beats/min. Which
nursing action is appropriate? - answer 🗸 document the finding


21.The mother of a preterm baby asks the nurse why the infant is receiving a
caffeine-type medication. What should the nurse explain is the purpose of
the medication? - answer 🗸 decrease the number of apnea occurrences


22.The nurse in the newborn nursery is preparing to feed a newborn the first
feeding of sterile water. During the feeding, the newborn suddenly begins to
cough, choke, and become cyanotic. Based on these symptoms, which
condition might the nurse suspect that the newborn has? - answer 🗸
tracheoesophageal fistula (tef)
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