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 observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother states 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This option respects the mother's decision while also providing education and support. By demonstrating proper newborn holding techniques and allowing the client to practice, the nurse can ensure the baby's safety and promote bonding between the mother and newborn. Insisting on the mother picking up the newborn (choice
A) goes against her wishes and may create tension. Persuading the client to breastfeed (choice
C) may not be feasible or appropriate at that moment. Taking the newborn to the nursery (choice
D) may not align with the mother's preferences.
Question 2 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: B
Rationale:
Correct
Answer: B (Blood pressure 88/58 mmHg)
Rationale: Terbutaline is a tocolytic medication used to inhibit preterm labor contractions by relaxing uterine smooth muscle. A low blood pressure of 88/58 mmHg indicates hypotension, a potential side effect of terbutaline. Hypotension can lead to decreased perfusion to the fetus and maternal organs, warranting withholding the medication and notifying the provider for further evaluation and management.
Summary of Incorrect
Choices:
A: Fasting blood glucose 75 mg/dL - Normal blood glucose level, not a concerning finding related to terbutaline administration.
C: Urinary output 40 mL/hr - Normal urinary output, not a concerning finding related to terbutaline administration.
D: FHR 120/min - Normal fetal heart rate, not a concerning finding related to terbutaline administration.
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique.
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if the end of the penis appears dark red. This is because dark red coloration at the end of the penis could indicate infection or compromised blood flow, requiring immediate medical attention.
Choice A is incorrect as the plastibell is typically left in place for about a week, not 4 hours.
Choice C is incorrect as a snug diaper can cause discomfort and hinder healing.
Choice D is incorrect because yellow exudate is a normal part of the healing process, usually appearing within 24-48 hours post-circumcision.
Question 4 of 5
A nurse is planning care immediately following birth for a newborn who has myelomeningocele that is leaking cerebrospinal fluid.
Correct Answer: A
Rationale: The correct answer is A. Administering broad-spectrum antibiotics is crucial to prevent infection since the exposed spinal cord increases the risk. Antibiotics help reduce the risk of meningitis and sepsis.
Choice B is incorrect as povidone-iodine can be irritating to the sensitive skin around the defect.
Choice C is incorrect as monitoring rectal temperature is not directly related to the immediate care needed for a myelomeningocele.
Choice D is incorrect because surgical closure should be done as soon as possible to prevent further complications.
Question 5 of 5
A nurse is caring for a newborn boy, 6 hours old, whose bedside glucose meter reading is 65 mg/dL. The newborn's mother has Type 2 diabetes mellitus.
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. By feeding the newborn, the nurse can stimulate the release of insulin, which will help regulate the baby's blood sugar levels. This is important especially in the case of a newborn born to a mother with Type 2 diabetes mellitus, as the baby may be at risk for hypoglycemia. Administering IV dextrose solution (choice
A) is not necessary at this point as feeding is the initial intervention. Obtaining a blood sample for serum glucose level (choice
B) can be done later but immediate feeding takes precedence. Reassessing blood glucose prior to the next feeding (choice
C) may delay necessary intervention.