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)
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
The nurse administers the prescribed vitamin K intramuscularly to a
newborn immediately after birth to: - CORRECT ANSWER Promote
the synthesis of prothrombin
Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is
labeled "1 mL = 2 mg." How many milliliters should the nurse
administer? Include a leading zero if applicable. Record your answer
using two decimal places. _____ mL - CORRECT ANSWER 0.25
A nurse is estimating a newborn's gestational age. What parameters
should the nurse evaluate? (Select all that apply.) - CORRECT
ANSWER 3 Breast size
5 Genital development
The nurse is caring for a couple after the birth of their first child. What
should the nurse tell the family to do when their infant is exhibiting the
behavior demonstrated in the picture? - CORRECT ANSWER "This
is the time when the baby is likely to be most responsive to you."
A nurse in the clinic determines that a 4-day-old neonate who was
born at home has a purulent discharge from the eyes. What condition
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
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
The nurse administers the prescribed vitamin K intramuscularly to a
newborn immediately after birth to: - CORRECT ANSWER Promote
the synthesis of prothrombin
Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is
labeled "1 mL = 2 mg." How many milliliters should the nurse
administer? Include a leading zero if applicable. Record your answer
using two decimal places. _____ mL - CORRECT ANSWER 0.25
A nurse is estimating a newborn's gestational age. What parameters
should the nurse evaluate? (Select all that apply.) - CORRECT
ANSWER 3 Breast size
5 Genital development
The nurse is caring for a couple after the birth of their first child. What
should the nurse tell the family to do when their infant is exhibiting the
behavior demonstrated in the picture? - CORRECT ANSWER "This
is the time when the baby is likely to be most responsive to you."
A nurse in the clinic determines that a 4-day-old neonate who was
born at home has a purulent discharge from the eyes. What condition
