ATI Maternal Newborn

ATI Maternal Newborn Related

Review ATI Maternal Newborn related questions and content

A newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight should be classified as which of the following?

  • A. Low birth weight
  • B. Appropriate for gestational age
  • C. Small for gestational age
  • D. Large for gestational age
Correct Answer: B

Rationale: The correct answer is B: Appropriate for gestational age. A newborn is considered appropriate for gestational age when their weight falls within the 10th to 90th percentiles for their gestational age. In this case, the newborn is in the 60th percentile for weight, indicating that the weight is appropriate for the gestational age of 38 weeks.

Choice A: Low birth weight is incorrect because a newborn is classified as low birth weight when their weight is below 2,500 g regardless of gestational age.

Choice C: Small for gestational age is incorrect because a newborn is classified as small for gestational age when their weight is below the 10th percentile for their gestational age.

Choice D: Large for gestational age is incorrect because a newborn is classified as large for gestational age when their weight is above the 90th percentile for their gestational age.

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A caregiver is being taught about bottle feeding a newborn. Which of the following statements by the caregiver indicates a need for further instruction?

  • A. I will keep the baby's head elevated while feeding.
  • B. I will allow the baby to burp several times during each feeding.
  • C. I will tilt the bottle to prevent air from entering as the baby sucks.
  • D. My baby will have soft, formed yellow stools.
Correct Answer: C

Rationale: The correct answer is C. Tilt the bottle to prevent air from entering as the baby sucks is incorrect. It is important not to tilt the bottle as it can cause the baby to swallow air, leading to gas and discomfort. A: Keeping the baby's head elevated helps prevent choking. B: Allowing the baby to burp reduces gas and discomfort. D: Soft, formed yellow stools indicate a healthy digestive system. Thus, C is the only statement that may lead to issues and requires further instruction.

A newborn is noted to have secretions bubbling out of the nose and mouth after delivery. What is the nurse's priority action?

  • A. Suction the nose with a bulb syringe.
  • B. Suction the mouth with a bulb syringe.
  • C. Use a suction catheter with low negative pressure.
  • D. Turn the newborn on their side.
Correct Answer: B

Rationale: The correct answer is B: Suction the mouth with a bulb syringe. This is the priority action because secretions in the mouth can obstruct the airway and lead to respiratory distress. Suctioning the mouth first helps clear the airway effectively. Suctioning the nose with a bulb syringe (choice A) may not address the immediate risk of airway obstruction. Using a suction catheter with low negative pressure (choice C) can be too strong for a newborn. Turning the newborn on their side (choice D) may not effectively address the airway obstruction from secretions in the mouth.

During an assessment, a healthcare provider observes small pearly white nodules on the roof of a newborn's 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
Correct Answer: D

Rationale: The correct answer is D: Epstein's pearls. These small pearly white nodules are commonly found on the roof of newborns' mouths and are considered a normal finding. They are formed from trapped epithelial cells during the development of the baby's mouth. They are harmless and typically resolve on their own without treatment.

A: Mongolian spots are bluish-black or bruise-like markings found on the skin, not in the mouth.
B: Milia spots are small, white, raised bumps on the skin, not found in the mouth.
C: Erythema toxicum is a common benign rash in newborns, not related to the mouth.

In summary, Epstein's pearls are the correct answer due to their specific location in the newborn's mouth, their appearance, and the fact that they are a normal finding in newborns. The other choices are incorrect as they describe different conditions not related to the oral cavity.

When should a provider order a maternal serum alpha-fetoprotein (MSAFP) screening for pregnant clients?

  • A. A client who has mitral valve prolapse
  • B. A client who has been exposed to AIDS
  • C. All pregnant clients
  • D. A client who has a history of preterm labor
Correct Answer: C

Rationale: Rationale:
- MSAFP screening is recommended for all pregnant clients to assess risk of neural tube defects or chromosomal abnormalities.
- It is a standard prenatal test regardless of specific medical conditions.
- Options A, B, and D are not directly related to the indication for MSAFP screening in pregnancy.

A client who is 2 days postpartum has a saturated perineal pad with bright red lochia containing small clots. What should the nurse document in the client's medical record?

  • A. Moderate lochia rubra
  • B. Excessive lochia serosa
  • C. Light lochia rubra
  • D. Scant lochia serosa
Correct Answer: A

Rationale: The correct answer is A: Moderate lochia rubra. This indicates normal postpartum bleeding 2 days after delivery. Bright red lochia with small clots is expected at this stage. Excessive lochia serosa (B) and scant lochia serosa (D) are not appropriate as serosa typically appears after the first few days postpartum. Light lochia rubra (C) does not accurately describe the amount of bleeding observed in this scenario.

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