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ATI Custom Maternity Newborncare

RN - Nursing Exam(s) 49 Questions 🔒 Premium Content

Maternal newborn

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Q1: The nurse admits a newborn to the admission nursery and prepares to bathe the baby for the first time after assessing which of the following?

Answer Choices:

A. Two hours since last eating.
B. Temperature 36.20C axillary on radiant warmer.
C. Drying of the umbilical cord.
D. Stable temperature for 2 hours.
Correct Answer: Stable temperature for 2 hours.
Rationale:
Bathing too early can cause cold stress.

Q2: How do you prevent flat spots on the back of a baby's head?

Answer Choices:

A. Back to sleep.
B. Take the baby for walks.
C. Keep them awake most of the day.
D. Tummy time.
Correct Answer: Tummy time.
Rationale:
Supervised tummy time strengthens neck and prevents flat head.

Q3: A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

Answer Choices:

A. "This is a Mongolian spot, which is found on many newborns.".
B. "This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor.".
C. "This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin.".
D. "This is a cephalhematoma, which will resolve on its own in 3 to 5 days.".
Correct Answer: "This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor.".
Rationale:
Caput is soft swelling from delivery pressure that crosses sutures.

Q4: The nurse enters the room and notices that the room feels cold. The mother says, "He has been crying and kicking and now he seems very tired.". What is the nurse's priority concern?

Answer Choices:

A. Metabolic alkalosis.
B. Metabolic acidosis.
C. The infant is hungry.
D. The infant is overstimulated.
Correct Answer: Metabolic acidosis.
Rationale:
Cold stress increases oxygen use, leading to acidosis.

Q5: A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn. Which of the following statements by the parent indicates a need for further teaching?

Answer Choices:

A. "My baby will be placed under special lights if the test is elevated.".
B. "My baby must take formula or breast milk before the test is done.".
C. "This test checks for a genetic disorder that can be corrected by diet.".
D. "Sometimes the test is repeated in the doctor's office at the 2-week check-up.".
Correct Answer: "My baby will be placed under special lights if the test is elevated.".
Rationale:
PKU is managed by diet, not phototherapy.

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Exam Details
Total Questions: 49 practice questions
Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI MATERNAL & NEWBORN NURSING
Last Updated: Nov 29, 2025
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