ATI Test A

Question 1

The expected reference range for a newborn’s HR is from ______ to 160/min awake.

Answer 1

110/min awake

Question 2

The expected reference range for a newborn’s axillary temperature is from 36.5C (97.7 F) to ______.

Answer 2

37.8 C (100.0) F

Question 3

The expected reference range for a newborn is from ____ to 60/min.

Answer 3

30/min

Question 4

The expected reference range for a newborn’s length is from ____ to ___ cm.

Answer 4

45 to 55 cm or 17.7 to 21.7 inches

Question 5

The expected weight of a newborns ranges from 2.5 to ____ kg.

Answer 5

2.5 -4 kg (5.5 to 8.8 lbs)

Question 6

A nurse caring for parents who experienced fetal death should create a ________ for the parents.

Answer 6

memory box

Question 7

______ can be considered if a newborn is born alive.

Answer 7

organ donation

Question 8

Intense hormonal changes may be responsible for mood changes that occur during pregnancy referred to as ______.

Answer 8

emothional lability

Question 9

Premature newborns have a delayed development of a liver enzyme which can cause a ________.

Answer 9

false positive result

Question 10

A nurse should ensure that the newborn has been receiving regular feedings for _____ prior to collecting a sample for the universal newborn screening.

Answer 10

24 hours

Question 11

The nurse should collect a capillary blood sample via a _____ for the newborn screening.

Answer 11

heel stick

Question 12

_____ occurs within the first 24 hour of birth and is associated with ABO incompatibility, hemolysis, or Rh-issoimunization.

Answer 12

jaundice - should be resported to the dr.

Question 13

_______ is a bluish discoloration of the hands and feet and is an expected finding in a newborn 12 hour after birth.

Answer 13

acrocyanosis

Question 14

Transient strabismus sis a normal variation in the newborn’s eyes that can persist until _____ of age.

Answer 14

4 months

Question 15

Caput succedaneum is a _____, edematous area of the scalp and is commonly found on the occiput.

Answer 15

benign

Question 16

The ____ maneuver first begins with the nurse palpating the client’s abdomen with her palms to determine which fetal part is the in the uterine fundus. This step also identifies the lie (transverse or longitudinal) and presentation of the fetus.

Answer 16

leopold

Question 17

Behavioral responses to a newborn’s pain include _______.

Answer 17

facial expressions 9chin quivering, grimacing, and furrowing of the brow)

Question 18

Swelling of the face, sacral area, and ______ can indicate gestational hypertension or preeclampsia. Reduction in renal perfusion leads to sodium and water retention.

Answer 18

hands

Question 19

Varicose _____ are an expected finding in the third trimester.

Answer 19

veins

Question 20

Erythrocyte Sedimentation Rate (ESR) postpartum

Answer 20

?