ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Extract:
Question 1 of 5
A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (SATA).
Correct Answer: A
Rationale: The correct answer is A because amnionitis, leakage of amniotic fluid, and preterm labor are potential complications following amniocentesis. Amnionitis is an infection of the amniotic fluid, leakage of amniotic fluid can lead to preterm labor, and preterm labor poses risks to both the mother and the baby. Hypertension (
B), hyperglycemia (
C), and maternal hypotension (
D) are not commonly associated with amniocentesis and are not typical complications of the procedure.
Question 2 of 5
A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?
Correct Answer: D
Rationale: The correct answer is D: Performing umbilical cord care. Gloves should be worn when performing any procedure that involves contact with bodily fluids or potentially infectious material, such as blood or bodily secretions. Umbilical cord care may involve cleaning the area, which can have potential exposure to bodily fluids. The other choices (A, B,
C) do not involve direct contact with bodily fluids or infectious material, so gloves are not necessary for those procedures. It is important to maintain infection control practices to prevent the spread of infections in the healthcare setting.
Question 3 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Breast Tenderness. Clomiphene citrate is a medication commonly used for infertility, and a common side effect is breast tenderness due to its estrogen-like effects on the body. Tinnitus (
A), urinary frequency (
B), and chills (
D) are not typically associated with clomiphene citrate. Tinnitus could be related to ototoxic medications, urinary frequency could be due to diuretics, and chills could be due to infections or allergic reactions, but they are not commonly linked to clomiphene citrate.
Therefore, the nurse should focus on educating the client about the potential adverse effect of breast tenderness when taking clomiphene citrate.
Question 4 of 5
A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching.
Correct Answer: C
Rationale: The correct answer is C: "I will check my urine for protein daily." This is the correct answer because monitoring urine for protein is crucial in managing preeclampsia. Proteinuria is a key marker for worsening preeclampsia as it indicates kidney damage. By checking urine daily, the client can detect early signs of deterioration and seek medical help promptly.
Answers A, B, and D are incorrect because they do not directly relate to monitoring preeclampsia. Counting baby's kicks (
A) and alternating arm use for blood pressure checks (
B) are important but not as critical as monitoring proteinuria. Consuming 50 grams of protein daily (
D) is beneficial for overall health during pregnancy but does not specifically address the management of preeclampsia.
Question 5 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: newborn who has nasal flaring. Nasal flaring is a sign of respiratory distress, which is a priority because it indicates potential respiratory compromise. The nurse should assess this newborn first to ensure adequate oxygenation. Subconjunctival hemorrhage (choice
B) and overlapping suture lines (choice
C) are common findings in newborns and typically do not require immediate attention. Rust-stained urine (choice
D) is not a concerning finding in a newborn and can be addressed later.