Maternal Newborn ATI Practice Questions

Maternal Newborn ATI Practice Questions Related

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The nurse teaches a new mother that neonatal weight loss in the first 3 days of life is most often the result of:

  • A. Allergy to formula
  • B. a hypoglycemic response
  • C. Inadequate breast or formula feeding
  • D. Excretion of fluid via lungs, urinary bladder and bowels.
Correct Answer: C

Rationale: Neonatal weight loss in the first 3 days of life is most often the result of inadequate breast or formula feeding. During the initial days of life, it is normal for newborn babies to experience some weight loss. This weight loss is generally due to factors such as insufficient intake of breast milk or formula. It takes a few days for a mother's mature breast milk to come in, and during this time, a newborn may not receive enough colostrum, which can lead to initial weight loss. Similarly, if a baby is not getting enough formula or is having feeding difficulties, this can also result in weight loss. Allergy to formula, a hypoglycemic response, or excretion of fluid via lungs, urinary bladder, and bowels are less likely explanations for neonatal weight loss in the first 3 days of life compared to inadequate feeding.

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A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

  • A. Apply a thin layer of lotion to the newborn skin every 8 hrs.
  • B. Give the newborn 1oz of glucose water every 4 hrs.
  • C. Ensure the newborn eyes are closed beneath the shield.
  • D. Dress the newborn in a thin layer of clothing during therapy
Correct Answer: C

Rationale: The correct action the nurse should include in the care plan for a newborn undergoing phototherapy using a lamp is to ensure that the newborn's eyes are closed beneath the shield. This is important to protect the newborn's eyes from exposure to the bright light emitted during phototherapy, as prolonged exposure can lead to eye damage. Keeping the eyes closed under the shield helps prevent potential harm and ensures the safety and well-being of the newborn during the treatment. Applying a thin layer of lotion, giving glucose water, or dressing the newborn in clothing are not relevant or appropriate actions for phototherapy care in this scenario.

The nurse is conducting a prenatal class about amniotic fluid. Which characteristics should be included in the teaching?

  • A. Allows for fetal movement.
  • B. Surrounds, cushions, and protects the fetus.
  • C. Maintains the body temperature of the fetus.
  • D. Can be used to measure fetal kidney function.
Correct Answer: B

Rationale: Amniotic fluid serves multiple functions, including cushioning the fetus, temperature regulation, and monitoring fetal kidney health.

The nurse is caring for a client with gestational diabetes. What fetal complication should the nurse monitor for after birth?

  • A. Hyperglycemia.
  • B. Macrosomia.
  • C. Hypoglycemia.
  • D. Hyperbilirubinemia.
Correct Answer: C

Rationale: Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to high insulin levels after birth.

An infertility specialist is evaluating whether a woman's cervical mucus contains enough estrogen to support sperm motility. Which of the following tests is the physician conducting?

  • A. Ferning capacity
  • B. Basal body temperature
  • C. Colposcopy
  • D. Hysterotomy
Correct Answer: A

Rationale: Ferning capacity refers to the ability of cervical mucus to form a fern-like pattern under a microscope when it is close to ovulation. This pattern indicates the presence of estrogen, which is essential for supporting sperm motility. By assessing ferning capacity, the infertility specialist can determine if the woman's cervical mucus contains enough estrogen to facilitate the movement of sperm for successful fertilization. This test helps in evaluating the quality of cervical mucus and its role in the fertility process. The other options (Basal body temperature, Colposcopy, Hysterotomy) are not directly related to assessing estrogen levels in cervical mucus for sperm motility.

A nurse is caring for a client who is receiving prenatal care and is at her 24- week appointment. Which of the following laboratory tests should the nurse plans to conduct?

  • A. Group B strep culture
  • B. 1-hr glucose tolerance test
  • C. Rubella titer
  • D. Blood type and Rh
Correct Answer: D

Rationale: At the 24-week prenatal appointment, it is essential to conduct the blood type and Rh test for the pregnant client. Determining the mother's blood type (A, B, AB, O) and Rh factor (positive or negative) is crucial as it helps identify if the mother is Rh-negative and at risk for Rh incompatibility with her baby. This information is vital for appropriate management to prevent potential complications such as hemolytic disease of the newborn. Conducting the blood type and Rh test at this stage allows healthcare providers to take necessary precautions to protect both the mother and the fetus.

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