ATI Practice Assessments for Maternal-Newborn LATEST EXAM
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
How should the nurse assess a newborn's grasp reflex? - CORRECT ANSWER By
pressing the examining fingers against the palms of the newborn's hands
A client at 43 weeks' gestation has just given birth to an infant with typical postmaturity
characteristics. Which postmature signs does the nurse identify? (Select all that apply.)
- CORRECT ANSWER 1 Cracked and peeling skin
2 Long scalp hair and fingernails
5 Creases covering the neonate's full soles and palms
A 7-lb newborn is admitted to the nursery with a prescription for intramuscular
phytonadione (vitamin K, Aquamephyton) 1 mg. The nurse explains to the parents that
this vitamin is administered to: - CORRECT ANSWER Promote clotting of the blood
A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor site
on the scalp. For what complication should the nurse monitor this newborn? -
CORRECT ANSWER Infection
What should the nurse do when an apnea monitor sounds an alarm 10 seconds after
cessation of respirations? - CORRECT ANSWER Use tactile stimuli on the chest or
extremities
,Respiratory acidosis is confirmed in a neonate with respiratory distress syndrome when
the laboratory report reveals: - CORRECT ANSWER An increased Paco 2 of 55
mm Hg
Which characteristics should alert the nurse to conclude that a male newborn is a
preterm infant? (Select all that apply.) - CORRECT ANSWER 1 Small breast buds
2 Wrinkled thin skin
5 Pinnae that remain flat when folded
On the third postpartum day a mother visits the clinic and asks why her newborn's skin
has begun to appear yellow. The nurse explains that the change in her infant's skin tone
is the result of: - CORRECT ANSWER Breakdown of fetal red blood cells
A client at 36 weeks' gestation exhibits oligohydramnios. What newborn complication
should the nurse anticipate? - CORRECT ANSWER Intrauterine growth restriction
(IUGR)
A client has chosen not to have her son circumcised. What instruction should be
included in discharge teaching for the care of an uncircumcised neonate? - CORRECT
ANSWER Clean the penis with warm water at each diaper change.
A nursing instructor provides education for the students on thermoregulation in the
nursery. The students determine that in the healthy full-term neonate, heat production is
accomplished by: - CORRECT ANSWER Metabolism of brown fat
At 10 hours of age a newborn has a large amount of mucus in the nasopharynx and
becomes cyanotic. What is the nurse's initial action? - CORRECT ANSWER
Suctioning the mouth
While a mother is inspecting her newborn she expresses concern that her baby's eyes
are crossed. How should the nurse respond? - CORRECT ANSWER "This is
expected. Your baby is trying to focus."
A nurse is caring for a preterm neonate with physiological jaundice who requires
phototherapy. What is the action of this therapy? - CORRECT ANSWER Breaks
down the bilirubin into a conjugated form
The mother of a newborn son tells the nurse that she is concerned about circumcision
because of the pain involved. What is the nurse's best response? - CORRECT
ANSWER "The health care provider will tell you how your baby's pain will be
controlled."
,The nurse observes several dark round areas on a newborn's buttocks on a dark-
skinned neonate. How should this observation be documented? - CORRECT
ANSWER Mongolian spots
-Mongolian spots are bluish-black areas of pigmentation commonly found on the back
and buttocks of dark-skinned newborns; they are benign and fade gradually over time.
While showing a new mother how to care for her infant's umbilical cord stump, the nurse
explains that the stump is a potential source of infection because: - CORRECT
ANSWER It contains exposed tissue and blood
The health care provider hands a neonate to a nurse immediately after birth. What
should the nurse do next for the newborn? - CORRECT ANSWER Dry and provide
skin-to-skin contact with the mother
-The priority is preventing heat loss; drying the newborn prevents heat loss through
evaporation, and skin-to-skin contact with the mother provides a warm environment
while promoting attachment.
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The
neonate begins to choke on mucus. How should the nurse suction him with a bulb
syringe? - CORRECT ANSWER By suctioning the mouth before the nostrils
The parents of a newborn ask the nurse about several areas of deep-blue coloring on
their baby's lower back and buttocks. The nurse's response is based on the information
that: - CORRECT ANSWER These areas usually are normal and will fade within
the first year.
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological jaundice).
What clinical finding confirms this complication? - CORRECT ANSWER Jaundice
that develops in the first 12 to 24 hours
Supplemental oxygen is ordered for a preterm neonate with respiratory distress
syndrome (RDS). What action does the nurse take to reduce the possibility of
retinopathy of prematurity? - CORRECT ANSWER Verifying oxygen saturation
frequently to adjust flow on the basis of need
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn
regurgitates about half an ounce. The mother remarks, "My baby spits up after every
feeding." What should the nurse do next? - CORRECT ANSWER Suggest that she
hold her baby upright for 30 minutes after feeding
, A newborn has small, whitish, pinpoint spots over the nose that are caused by retained
sebaceous secretions. When documenting this observation, a nurse identifies them as: -
CORRECT ANSWER Milia
-Milia are common, are not indicative of illness, and eventually disappear. Lanugo is
fine, downy hair.
What should the care of a newborn infant whose mother has had untreated syphilis
since the second trimester of pregnancy include? - CORRECT ANSWER Testing
for congenital syphilis
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - CORRECT ANSWER An injury to the
brachial plexus during birth
An infant born in the 36th week of gestation weighs 4 lb 3 oz (2062 g) and has Apgar
scores of 7 and 9. What nursing actions will be performed on the infant's admission to
the nursery? (Select all that apply.) - CORRECT ANSWER 1 Recording of vital
signs
4 Evaluation of the neonate's health status
5 Supportive measures to keep the neonate's body temperature stable
Two days after birth a neonate's head circumference is 16 inches (40 cm) and the chest
circumference is 13 inches (32.5 cm). What does the nurse infer from these
measurements? - CORRECT ANSWER Enlarged head
A newborn male is admitted to the nursery. He weighs 10 lb 2 oz, which is 2 lb more
than the birthweight of any of his siblings. What should the nurse do in relation to the
baby's weight? - CORRECT ANSWER Perform serial glucose readings
A mother is inspecting her newborn girl for the first time. The infant's breasts are
edematous, and she has a pink vaginal discharge. How should the nurse respond when
the mother asks what is wrong? - CORRECT ANSWER "The swelling and
discharge are expected. They're a response to your hormones."
A nurse assesses a healthy 8-lb 8-oz (3860-gm) newborn who was given Apgar scores
of 9 at 1 minute and 10 at 5 minutes. Which category of the Apgar score received a 1
rating at one minute? - CORRECT ANSWER Color
Shortly after birth the nurse instills erythromycin ophthalmic ointment in the newborn's
eyes. The father asks why an antibiotic is needed because the mother does not have an
infection. The nurse explains that it protects the newborn from: - CORRECT
ANSWER Chlamydia and gonorrhea
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
How should the nurse assess a newborn's grasp reflex? - CORRECT ANSWER By
pressing the examining fingers against the palms of the newborn's hands
A client at 43 weeks' gestation has just given birth to an infant with typical postmaturity
characteristics. Which postmature signs does the nurse identify? (Select all that apply.)
- CORRECT ANSWER 1 Cracked and peeling skin
2 Long scalp hair and fingernails
5 Creases covering the neonate's full soles and palms
A 7-lb newborn is admitted to the nursery with a prescription for intramuscular
phytonadione (vitamin K, Aquamephyton) 1 mg. The nurse explains to the parents that
this vitamin is administered to: - CORRECT ANSWER Promote clotting of the blood
A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor site
on the scalp. For what complication should the nurse monitor this newborn? -
CORRECT ANSWER Infection
What should the nurse do when an apnea monitor sounds an alarm 10 seconds after
cessation of respirations? - CORRECT ANSWER Use tactile stimuli on the chest or
extremities
,Respiratory acidosis is confirmed in a neonate with respiratory distress syndrome when
the laboratory report reveals: - CORRECT ANSWER An increased Paco 2 of 55
mm Hg
Which characteristics should alert the nurse to conclude that a male newborn is a
preterm infant? (Select all that apply.) - CORRECT ANSWER 1 Small breast buds
2 Wrinkled thin skin
5 Pinnae that remain flat when folded
On the third postpartum day a mother visits the clinic and asks why her newborn's skin
has begun to appear yellow. The nurse explains that the change in her infant's skin tone
is the result of: - CORRECT ANSWER Breakdown of fetal red blood cells
A client at 36 weeks' gestation exhibits oligohydramnios. What newborn complication
should the nurse anticipate? - CORRECT ANSWER Intrauterine growth restriction
(IUGR)
A client has chosen not to have her son circumcised. What instruction should be
included in discharge teaching for the care of an uncircumcised neonate? - CORRECT
ANSWER Clean the penis with warm water at each diaper change.
A nursing instructor provides education for the students on thermoregulation in the
nursery. The students determine that in the healthy full-term neonate, heat production is
accomplished by: - CORRECT ANSWER Metabolism of brown fat
At 10 hours of age a newborn has a large amount of mucus in the nasopharynx and
becomes cyanotic. What is the nurse's initial action? - CORRECT ANSWER
Suctioning the mouth
While a mother is inspecting her newborn she expresses concern that her baby's eyes
are crossed. How should the nurse respond? - CORRECT ANSWER "This is
expected. Your baby is trying to focus."
A nurse is caring for a preterm neonate with physiological jaundice who requires
phototherapy. What is the action of this therapy? - CORRECT ANSWER Breaks
down the bilirubin into a conjugated form
The mother of a newborn son tells the nurse that she is concerned about circumcision
because of the pain involved. What is the nurse's best response? - CORRECT
ANSWER "The health care provider will tell you how your baby's pain will be
controlled."
,The nurse observes several dark round areas on a newborn's buttocks on a dark-
skinned neonate. How should this observation be documented? - CORRECT
ANSWER Mongolian spots
-Mongolian spots are bluish-black areas of pigmentation commonly found on the back
and buttocks of dark-skinned newborns; they are benign and fade gradually over time.
While showing a new mother how to care for her infant's umbilical cord stump, the nurse
explains that the stump is a potential source of infection because: - CORRECT
ANSWER It contains exposed tissue and blood
The health care provider hands a neonate to a nurse immediately after birth. What
should the nurse do next for the newborn? - CORRECT ANSWER Dry and provide
skin-to-skin contact with the mother
-The priority is preventing heat loss; drying the newborn prevents heat loss through
evaporation, and skin-to-skin contact with the mother provides a warm environment
while promoting attachment.
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The
neonate begins to choke on mucus. How should the nurse suction him with a bulb
syringe? - CORRECT ANSWER By suctioning the mouth before the nostrils
The parents of a newborn ask the nurse about several areas of deep-blue coloring on
their baby's lower back and buttocks. The nurse's response is based on the information
that: - CORRECT ANSWER These areas usually are normal and will fade within
the first year.
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological jaundice).
What clinical finding confirms this complication? - CORRECT ANSWER Jaundice
that develops in the first 12 to 24 hours
Supplemental oxygen is ordered for a preterm neonate with respiratory distress
syndrome (RDS). What action does the nurse take to reduce the possibility of
retinopathy of prematurity? - CORRECT ANSWER Verifying oxygen saturation
frequently to adjust flow on the basis of need
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn
regurgitates about half an ounce. The mother remarks, "My baby spits up after every
feeding." What should the nurse do next? - CORRECT ANSWER Suggest that she
hold her baby upright for 30 minutes after feeding
, A newborn has small, whitish, pinpoint spots over the nose that are caused by retained
sebaceous secretions. When documenting this observation, a nurse identifies them as: -
CORRECT ANSWER Milia
-Milia are common, are not indicative of illness, and eventually disappear. Lanugo is
fine, downy hair.
What should the care of a newborn infant whose mother has had untreated syphilis
since the second trimester of pregnancy include? - CORRECT ANSWER Testing
for congenital syphilis
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - CORRECT ANSWER An injury to the
brachial plexus during birth
An infant born in the 36th week of gestation weighs 4 lb 3 oz (2062 g) and has Apgar
scores of 7 and 9. What nursing actions will be performed on the infant's admission to
the nursery? (Select all that apply.) - CORRECT ANSWER 1 Recording of vital
signs
4 Evaluation of the neonate's health status
5 Supportive measures to keep the neonate's body temperature stable
Two days after birth a neonate's head circumference is 16 inches (40 cm) and the chest
circumference is 13 inches (32.5 cm). What does the nurse infer from these
measurements? - CORRECT ANSWER Enlarged head
A newborn male is admitted to the nursery. He weighs 10 lb 2 oz, which is 2 lb more
than the birthweight of any of his siblings. What should the nurse do in relation to the
baby's weight? - CORRECT ANSWER Perform serial glucose readings
A mother is inspecting her newborn girl for the first time. The infant's breasts are
edematous, and she has a pink vaginal discharge. How should the nurse respond when
the mother asks what is wrong? - CORRECT ANSWER "The swelling and
discharge are expected. They're a response to your hormones."
A nurse assesses a healthy 8-lb 8-oz (3860-gm) newborn who was given Apgar scores
of 9 at 1 minute and 10 at 5 minutes. Which category of the Apgar score received a 1
rating at one minute? - CORRECT ANSWER Color
Shortly after birth the nurse instills erythromycin ophthalmic ointment in the newborn's
eyes. The father asks why an antibiotic is needed because the mother does not have an
infection. The nurse explains that it protects the newborn from: - CORRECT
ANSWER Chlamydia and gonorrhea
