ATI Maternal Newborn

ATI Maternal Newborn Related

Review ATI Maternal Newborn related questions and content

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.

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A client has postpartum psychosis. Which of the following actions is the nurse's priority?

  • A. Reinforce the importance of taking antipsychotics as prescribed
  • B. Ask the client if they have thoughts of harming themselves or their infant
  • C. Monitor the infant for signs of failure to thrive
  • D. Check the client's medical record for a history of bipolar disorder
Correct Answer: B

Rationale: The correct answer is B: Ask the client if they have thoughts of harming themselves or their infant. This is the priority because postpartum psychosis poses a risk of harm to the client and the infant. Assessing for suicidal or homicidal ideation is crucial to ensure safety. Choice A may be important but ensuring immediate safety takes precedence. Choice C is important but not the priority. Choice D may provide background information but does not address the immediate safety concern.

A client who is breastfeeding and has mastitis is receiving teaching from the nurse. Which of the following responses should the nurse make?

  • A. Limit the amount of time the infant nurses on each breast.
  • B. Nurse the infant only on the unaffected breast until resolved.
  • C. Completely empty each breast at each feeding or use a pump.
  • D. Wear a tight-fitting bra until lactation has ceased.
Correct Answer: C

Rationale: The correct answer is C: Completely empty each breast at each feeding or use a pump. This is the correct response because it helps to ensure effective milk removal, which is crucial for treating mastitis. By fully emptying the breast, the nurse can prevent milk stasis and promote healing.

A: Limiting the time the infant nurses on each breast may lead to incomplete milk removal, worsening the condition.
B: Nursing only on the unaffected breast does not address the issue of milk stasis in the affected breast and may lead to further complications.
D: Wearing a tight-fitting bra can exacerbate mastitis by restricting milk flow and increasing discomfort.

A client who is pregnant and has phenylketonuria (PKU) is receiving teaching from a nurse. Which of the following foods should the nurse instruct the client to eliminate from her diet?

  • A. Peanut butter
  • B. Potatoes
  • C. Apple juice
  • D. Broccoli
Correct Answer: A

Rationale: The correct answer is A: Peanut butter. Phenylketonuria (PKU) is a metabolic disorder where the body can't process phenylalanine found in protein foods. Peanut butter is high in protein and contains phenylalanine, so it should be eliminated from the client's diet. Potatoes, apple juice, and broccoli are low in protein and do not contain high levels of phenylalanine, so they do not need to be eliminated. It is crucial for the client to avoid foods high in phenylalanine to prevent the buildup of toxic levels in the body, which can lead to serious health issues.

A newborn is small for gestational age (SGA). Which of the following findings is associated with this condition?

  • A. Moist skin
  • B. Protruding abdomen
  • C. Gray umbilical cord
  • D. Wide skull sutures
Correct Answer: D

Rationale: The correct answer is D: Wide skull sutures. Small for gestational age (SGA) newborns may have wide skull sutures due to reduced skull growth in utero. This is because their growth was restricted, leading to smaller head size and delayed closure of skull sutures.
A, B, and C are incorrect:
A: Moist skin is not a typical finding associated with being small for gestational age.
B: Protruding abdomen is more commonly seen in conditions like gastroschisis or omphalocele, not necessarily SGA.
C: Gray umbilical cord color is not specifically linked to being small for gestational age.

When reinforcing teaching with new parents on bathing a newborn, a nurse observes a bluish-brown marking across the newborn's lower back. Which of the following statements should the nurse make concerning the variation?

  • A. This is more commonly seen in newborns who have dark skin.
  • B. This is a finding indicating hyperbilirubinemia.
  • C. This is a forceps mark from an operative delivery.
  • D. This is related to prolonged birth or trauma during delivery.
Correct Answer: A

Rationale: The correct answer is A: This is more commonly seen in newborns who have dark skin. The bluish-brown marking described is likely a Mongolian spot, a common birthmark in darker-skinned infants. It is not related to hyperbilirubinemia (jaundice), forceps marks, or birth trauma. Mongolian spots are benign and typically fade over time. This statement is correct as it addresses the specific characteristic of the marking and its association with dark skin pigmentation in newborns.

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