ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should increase my calcium intake while taking this medication." This is because medroxyprogesterone can decrease bone density, so increasing calcium intake helps counteract this side effect. Option A is incorrect as spotting is a common side effect and not a reason to discontinue the medication. Option B is incorrect as medroxyprogesterone injections are typically given every 12-13 weeks, not every 8 weeks. Option D is incorrect as only one shot is typically given each time.
Question 2 of 5
A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps)
Correct Answer: A,B,C,D
Rationale: Correct order of actions for fundal massage:
A: Ask the client to lie on her back with knees flexed - This position allows easy access to the uterus.
B: Position one hand around the top of the client's fundus and one hand just above the symphysis pubis - Proper positioning ensures effective massage.
C: Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus - This helps to stimulate contraction and control bleeding.
D: Observe the client's perineum for the passage of clots and the amount of bleeding - Monitoring for complications is essential.
Summary:
E: Not applicable - No action specified.
F: Not applicable - No action specified.
G: Not applicable - No action specified.
Incorrect choices:
The other choices are incorrect as they do not follow the logical sequence required for performing a fundal massage effectively and safely.
Question 3 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her five-year 5day old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: The correct answer is D: Notify your baby's pediatrician if he urinates less than 6 times per day. This is important as decreased urine output can indicate dehydration in a newborn, which is a serious concern. It is crucial to monitor the baby's hydration status closely in the early days of life.
A: Retracting the foreskin to clean the baby's penis is not recommended as it can cause harm and is not necessary at this age.
B: Using triple antibiotic ointment on the umbilical cord is not recommended as it can delay the natural healing process.
C: Swaddling the baby tightly with legs extended is not recommended as it can increase the risk of hip dysplasia.
In summary, the other choices are incorrect because they may cause harm or are not recommended practices for caring for a newborn.
Question 4 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. CMV infection during pregnancy can lead to congenital CMV in the newborn, causing sensorineural hearing loss. This occurs as the virus affects the inner ear structures. Urinary tract infection (
A), macrosomia (
C), and cataracts (
D) are not typically associated with congenital CMV infection. The nurse should monitor the newborn's hearing closely and consider early intervention if hearing loss is detected.
Question 5 of 5
A nurse is assessing a full-term newborn arm admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Single Palmar creases - down syndrome. This finding should be reported to the provider because it is a physical characteristic associated with Down syndrome. The presence of a single palmar crease can indicate a chromosomal abnormality and requires further evaluation.
A: Transient circumoral cyanosis is a common finding in newborns and is typically related to acrocyanosis, which is considered normal in the immediate postnatal period.
C: Subconjunctival hemorrhage is a common occurrence during the birth process and is often benign, resolving on its own without intervention.
D: Rust stain urine may be a result of uric acid crystals and is considered expected in newborns due to the metabolism of fetal hemoglobin. It does not typically require immediate reporting to the provider.
In summary, the other choices are considered normal or expected in newborns, while the presence of a single palmar crease requires further assessment due to its association with Down syndrome.