Practice Question
A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?
Answer Choices:
Correct Answer:
Nasal flaring and grunting.
Rationale:
🟡 Nasal flaring and grunting are signs of respiratory distress, requiring immediate intervention to prevent respiratory failure.
🟡 These signs indicate increased work of breathing, potentially due to conditions like TTN, RDS, or pneumonia.
🟡 Early detection helps initiate oxygen support and further diagnostics (e.g., chest X-ray, ABG).
🟡 Apical HR of 140 bpm, acrocyanosis, and milia are normal findings in early newborn transition.
🟡 Respiratory distress is a priority concern due to its impact on oxygenation and perfusion.
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This question is from RN ATI Maternal Newborn Final Exam~mso which contains 46 questions.
More Questions from This Exam
A nurse is caring for a newborn client. The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea. What condition does the nurse suspect?
Answer Choices:
A. Hyperbilirubinemia.
B. Neonatal abstinence syndrome.
C. Respiratory distress syndrome.
D. Necrotizing enterocolitis.
A nurse is caring for a client with irregular uterine contractions that are mild to palpation. FHR is 130/min with moderate variability and accelerations noted. The client has been ambulating in the hallway, took a warm shower, and is now resting in bed. The client rates pain of contractions at 3 on a O to IO scale. What potential condition does the nurse suspect?
Answer Choices:
A. Umbilical cord compression.
B. Dysfunctional labor.
C. Chorioamnionitis.
D. Iron deficiency anemia.
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Answer Choices:
A. Monitor the newborn's blood pressure.
B. Obtain blood glucose by heel stick.
C. Place the newborn in a radiant warmer.
D. Initiate phototherapy.
You admitted a client who experienced a precipitous labor. What is the highest concern for maternal complication related to this type of labor?
Answer Choices:
A. Increased risk for an operative delivery.
B. Increased risk for postpartum hemorrhage (PPH).
C. Decreased risk tor vaginal laceration.
D. Increased risk for neonatal sepsis.
The nurse in an 0B clinic is completing an intake assessment of a client at the first prenatal appointment. The client is currently 9 weeks pregnant. She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate. Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks. What is her GTPAL?
Answer Choices:
A. G4T1 Pl A1 L2.
B. G5T2 PO A2 L2.
C. G5T1 Pl A2 L2.
D. G5T1 Pl A1 L3
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4