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 planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because ensuring the newborn's eyes are closed beneath the shield during phototherapy prevents potential eye damage from the bright light. Closing the eyes protects the delicate eye tissues from exposure to the intense light. This action is crucial in preventing eye injury and promoting the safety and well-being of the newborn.
Incorrect
Choices:
A: Applying lotion to the skin can intensify the effects of the light and should be avoided.
B: Giving glucose water is unnecessary and not related to phototherapy.
D: Dressing the newborn in clothing can interfere with the effectiveness of the light therapy.
Question 2 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?
Correct Answer: A
Rationale: The correct answer is A, as it encourages the client to make decisions based on their preferences. By stating, "You can bathe and dress your baby if you’d like to," the nurse offers support and control to the client during a difficult time. This empowers the client to engage in meaningful rituals and take control of the situation.
Choice B is incorrect because it imposes guilt on the client by suggesting that not holding the baby will make letting go harder, which may not be the case for everyone.
Choice C is incorrect as naming the baby should be a personal decision and not a directive from the nurse.
Choice D is incorrect because it assumes the client's readiness for another baby, which may not be the case and can be insensitive.
Question 3 of 5
A nurse is caring for a client who has a complete uterine rupture. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. A complete uterine rupture is a serious complication where the uterine wall tears completely, leading to massive internal bleeding. This can result in hypotension due to blood loss. Early fetal heart rate decelerations (choice
A) are not indicative of uterine rupture. Painless, dark red vaginal bleeding (choice
C) is more commonly associated with placental abruption. Bounding peripheral pulses (choice
D) are not a typical finding in uterine rupture.
Question 4 of 5
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A - Nails extending over tips of fingers. Post-term newborns may have longer nails due to prolonged exposure in utero. This is because the baby had more time for nail growth compared to a term baby. Nails extending over the tips of the fingers is a common finding in post-term newborns. The other choices are incorrect because large deposits of subcutaneous fat (
B) are more common in term or postmature infants, pale, translucent skin (
C) is more characteristic of preterm infants, and a thin covering of fine hair on shoulders and back (
D) is typical of lanugo, which is usually shed before birth or shortly after for post-term infants.
Question 5 of 5
A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: “Breast milk can be stored in a deep freezer for 12 months.” This is correct because breast milk can indeed be stored in a deep freezer for up to 12 months, maintaining its quality and safety. Deep freezing helps preserve the nutrients in breast milk for a longer period compared to standard refrigeration.
Choice A is incorrect because thawed breast milk should be used within 24 hours if stored in the refrigerator, not 72 hours.
Choice C is incorrect because breast milk can only be stored at room temperature for up to 4 hours.
Choice D is incorrect because thawed breast milk should not be refrozen; it should be used within 24 hours.