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 providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Correct Answer: D
Rationale: The correct answer is D: You should have your provider refit you for a new diaphragm. After childbirth, the size and shape of the cervix and vaginal canal may change, affecting the fit of the diaphragm. It is essential to have a healthcare provider assess and refit the diaphragm to ensure proper contraception.
Incorrect answers:
A: Using oil-based vaginal lubricant can degrade latex diaphragms, leading to breakage.
B: Storing the diaphragm in sterile water can damage the latex material and increase the risk of infection.
C: Keeping the diaphragm in place for a specific time after intercourse is not necessary and can increase the risk of toxic shock syndrome.
E: Not applicable.
F: Not applicable.
G: Not applicable.
Question 2 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks, it is important to screen for gestational diabetes. This test helps assess the body's ability to metabolize glucose. The other choices are not typically done at the 24-week appointment. B: Rubella titer is usually done earlier in pregnancy to check immunity. C: Group B strep culture is usually done around 35-37 weeks. D: Blood type and Rh are usually checked at the first prenatal visit.
Question 3 of 5
A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: The correct answer is B: Increased urination. Hyperglycemia in gestational diabetes mellitus leads to elevated blood glucose levels, causing the kidneys to filter excess glucose into the urine, leading to increased urination (polyuria). This is due to the osmotic effect of glucose drawing water from the body into the urine. Double vision (choice
A) is more indicative of neurological issues. Sweating (choice
C) can be a response to hypoglycemia rather than hyperglycemia. Dizziness (choice
D) can be a symptom of both hyperglycemia and hypoglycemia, but it is not specific to hyperglycemia.
Question 4 of 5
A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Platelets 100,000/mm³. This finding should be reported as it indicates a low platelet count, which can lead to bleeding issues in the newborn. A normal platelet count in a newborn is typically higher than 150,000/mm³. Low platelets can increase the risk of bleeding, especially in the setting of birth trauma.
A: Blood glucose 58 mg/dL is within the normal range for a newborn.
B: Hematocrit 48% is within the normal range for a newborn.
D: Hemoglobin 16 g/dL is within the normal range for a newborn.
In summary, the correct answer is C because it signifies a potential health concern for the newborn, while the other options fall within normal ranges and do not require immediate medical attention.
Question 5 of 5
A nurse is using Nagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: C
Rationale: The correct answer is C: May 5th. Nagele's rule is used to estimate the expected delivery date by adding 7 days to the first day of the last menstrual cycle, subtracting 3 months, and then adding 1 year. In this case, the first day of the last menstrual cycle was July 28th. Adding 7 days gives August 4th. Subtracting 3 months gives May 4th. Adding 1 year gives May 4th of the next year. Since May 4th falls on a Sunday, the expected delivery date is adjusted to the following day, May 5th.
Choice A, B, and D are incorrect because they do not follow the correct calculations of Nagele's rule.