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)
The nurse is caring for a term infant who is 24 hours old who had a
confirmed episode of hypoglycemia when 1 hour old. Which
observation by the nurse would indicate the need for follow-up? -
CORRECT ANSWER High-pitched cry, drinking 10 to 15 mL of
formula per feeding
A newborn is in the neonatal intensive care unit for respiratory
distress syndrome (RDS) and surfactant replacement therapy has been
given. The nurse evaluates the infant 1 hour after the surfactant
therapy and determines that the infant's condition has improved
somewhat. Which option, if observed by the nurse, indicates
improvement? - CORRECT ANSWER Decreased need for
supplemental oxygen
The nurse is admitting a newborn infant to the nursery and notes that
the health care provider has documented that the newborn has
gastroschisis. The nurse plans care, knowing that in this condition,
,where is the viscera? - CORRECT ANSWER Outside the abdominal
cavity and not covered with a sac
A newborn infant is diagnosed with imperforate anus. Which is an
appropriate description of this disorder to provide to the parents? -
CORRECT ANSWER Incomplete development of the anus
The nurse is providing bottle-feeding instructions to the mother of a
newborn infant. The nurse provides instructions regarding the amount
of formula to be given, knowing that what is the approximate stomach
capacity for a newborn? - CORRECT ANSWER 10 to 20 ml
The nurse in the newborn nursery receives a telephone call from the
delivery room and is told that a postterm small for gestational age
(SGA) newborn will be admitted to the nursery. The nurse develops a
plan of care for the newborn and decides which is the priority to
monitor? - CORRECT ANSWER Blood glucose levels
The nurse in the newborn nursery is performing vital signs on the
newborn infant. Which finding indicates a normal respiratory rate? -
CORRECT ANSWER 50 breaths per minute
The nurse is preparing to administer medication to a newborn infant
with respiratory distress syndrome. The nurse monitors the infant
closely, knowing that drug toxicity is more likely to occur in an infant
because of which condition? - CORRECT ANSWER The liver is not
fully developed in an infant
A newborn is diagnosed with Hirschsprung's disease, based on the
failure to pass meconium. The nurse observes that the parents are
hesitant to hold their newborn. Based on this assessment, which
action is an important nursing consideration in working with the
parents? - CORRECT ANSWER Helping the parents adjust to the
congenital disorder
A newborn is diagnosed with esophageal atresia, and the mother of
the newborn asks the nurse to explain the diagnosis. On which
description of this disorder should the nurse base the response? -
,CORRECT ANSWER The esophagus terminates before it reaches
the stomach
The nurse is collecting data on a newborn with a diagnosis of
congenital diaphragmatic hernia. Which finding should the nurse
specifically expect to note in the newborn? - CORRECT ANSWER
Bowel sounds heard over the chest
Following the delivery of an infant, the nurse performs an initial
assessment on the newborn. The nurse obtains and documents an
Apgar score of 8. The nurse determines that this score indicates which
finding? - CORRECT ANSWER The infant is adjusting well to
extrauterine life
An 8-pound, 15-ounce baby born at 36 weeks' gestation should be
described using which terminology? Select all that apply. - CORRECT
ANSWER 1. Preterm
2. Large for gestational age
A new mother of a breast-fed newborn tells the nurse that her infant is
having a diarrhea stool. Which finding supports that the newborn is
experiencing diarrhea? - CORRECT ANSWER The stool has a foul
odor
The nurse is preparing to bathe a newborn infant and is preparing the
environment to prevent heat loss and maintain the infant's body
temperature. The nurse avoids exposing the infant's wet skin to air in
order to prevent which mechanism of heat loss? - CORRECT ANSWER
Evaporation
The nurse is caring for a newborn infant diagnosed with congenital
hypothyroidism. On assessment of the infant, the nurse should expect
to note which sign? - CORRECT ANSWER Excessive sleepiness
A newborn of a mother with diabetes mellitus displays irregular
respirations, grunting, substernal retractions, and lethargy. The nurse
anticipated the respiratory distress noted in the newborn infant, based
, on assessment of which test results performed in the week prior to
delivery? - CORRECT ANSWER Lecithin/Sphingomyelin (L/S) ratio
Most newborn infants who are human immunodeficiency virus (HIV)-
positive are asymptomatic at birth. Which early finding would be noted
in an HIV-positive infant? - CORRECT ANSWER
Hepatosplenomegaly
The nurse is assessing a 1-hour-old newborn. Which finding indicates
that the newborn may be at risk for hypoglycemia? - CORRECT
ANSWER Hypothermia and a weak, high-pitched cry
The nurse is reviewing the record of a newborn in the nursery and
notes that the health care provider has documented the presence of a
suture split greater than 1 cm. On the basis of this documentation, the
nurse should monitor for which condition? - CORRECT ANSWER
Increased intracranial pressure
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
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
The nurse is caring for a term infant who is 24 hours old who had a
confirmed episode of hypoglycemia when 1 hour old. Which
observation by the nurse would indicate the need for follow-up? -
CORRECT ANSWER High-pitched cry, drinking 10 to 15 mL of
formula per feeding
A newborn is in the neonatal intensive care unit for respiratory
distress syndrome (RDS) and surfactant replacement therapy has been
given. The nurse evaluates the infant 1 hour after the surfactant
therapy and determines that the infant's condition has improved
somewhat. Which option, if observed by the nurse, indicates
improvement? - CORRECT ANSWER Decreased need for
supplemental oxygen
The nurse is admitting a newborn infant to the nursery and notes that
the health care provider has documented that the newborn has
gastroschisis. The nurse plans care, knowing that in this condition,
,where is the viscera? - CORRECT ANSWER Outside the abdominal
cavity and not covered with a sac
A newborn infant is diagnosed with imperforate anus. Which is an
appropriate description of this disorder to provide to the parents? -
CORRECT ANSWER Incomplete development of the anus
The nurse is providing bottle-feeding instructions to the mother of a
newborn infant. The nurse provides instructions regarding the amount
of formula to be given, knowing that what is the approximate stomach
capacity for a newborn? - CORRECT ANSWER 10 to 20 ml
The nurse in the newborn nursery receives a telephone call from the
delivery room and is told that a postterm small for gestational age
(SGA) newborn will be admitted to the nursery. The nurse develops a
plan of care for the newborn and decides which is the priority to
monitor? - CORRECT ANSWER Blood glucose levels
The nurse in the newborn nursery is performing vital signs on the
newborn infant. Which finding indicates a normal respiratory rate? -
CORRECT ANSWER 50 breaths per minute
The nurse is preparing to administer medication to a newborn infant
with respiratory distress syndrome. The nurse monitors the infant
closely, knowing that drug toxicity is more likely to occur in an infant
because of which condition? - CORRECT ANSWER The liver is not
fully developed in an infant
A newborn is diagnosed with Hirschsprung's disease, based on the
failure to pass meconium. The nurse observes that the parents are
hesitant to hold their newborn. Based on this assessment, which
action is an important nursing consideration in working with the
parents? - CORRECT ANSWER Helping the parents adjust to the
congenital disorder
A newborn is diagnosed with esophageal atresia, and the mother of
the newborn asks the nurse to explain the diagnosis. On which
description of this disorder should the nurse base the response? -
,CORRECT ANSWER The esophagus terminates before it reaches
the stomach
The nurse is collecting data on a newborn with a diagnosis of
congenital diaphragmatic hernia. Which finding should the nurse
specifically expect to note in the newborn? - CORRECT ANSWER
Bowel sounds heard over the chest
Following the delivery of an infant, the nurse performs an initial
assessment on the newborn. The nurse obtains and documents an
Apgar score of 8. The nurse determines that this score indicates which
finding? - CORRECT ANSWER The infant is adjusting well to
extrauterine life
An 8-pound, 15-ounce baby born at 36 weeks' gestation should be
described using which terminology? Select all that apply. - CORRECT
ANSWER 1. Preterm
2. Large for gestational age
A new mother of a breast-fed newborn tells the nurse that her infant is
having a diarrhea stool. Which finding supports that the newborn is
experiencing diarrhea? - CORRECT ANSWER The stool has a foul
odor
The nurse is preparing to bathe a newborn infant and is preparing the
environment to prevent heat loss and maintain the infant's body
temperature. The nurse avoids exposing the infant's wet skin to air in
order to prevent which mechanism of heat loss? - CORRECT ANSWER
Evaporation
The nurse is caring for a newborn infant diagnosed with congenital
hypothyroidism. On assessment of the infant, the nurse should expect
to note which sign? - CORRECT ANSWER Excessive sleepiness
A newborn of a mother with diabetes mellitus displays irregular
respirations, grunting, substernal retractions, and lethargy. The nurse
anticipated the respiratory distress noted in the newborn infant, based
, on assessment of which test results performed in the week prior to
delivery? - CORRECT ANSWER Lecithin/Sphingomyelin (L/S) ratio
Most newborn infants who are human immunodeficiency virus (HIV)-
positive are asymptomatic at birth. Which early finding would be noted
in an HIV-positive infant? - CORRECT ANSWER
Hepatosplenomegaly
The nurse is assessing a 1-hour-old newborn. Which finding indicates
that the newborn may be at risk for hypoglycemia? - CORRECT
ANSWER Hypothermia and a weak, high-pitched cry
The nurse is reviewing the record of a newborn in the nursery and
notes that the health care provider has documented the presence of a
suture split greater than 1 cm. On the basis of this documentation, the
nurse should monitor for which condition? - CORRECT ANSWER
Increased intracranial pressure
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
