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 on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization?
Correct Answer: A
Rationale: The correct answer is A: An Rh-negative mother who has an Rh-positive infant. This mother is at risk for developing Rh isoimmunization, a condition where her immune system attacks the Rh-positive red blood cells of her infant, potentially causing harm in future pregnancies. Rh(
D) Immune globulin is given to prevent this by blocking the mother's immune response to the Rh-positive cells of the infant. The other choices do not require Rh(
D) Immune globulin because they do not involve the risk of Rh isoimmunization.
Choice B involves an Rh-positive mother who is not at risk of isoimmunization.
Choice C involves an Rh-positive mother with an Rh-positive infant, so there is no incompatibility.
Choice D involves an Rh-negative mother with an Rh-negative infant, so there is no risk of isoimmunization.
Question 2 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor blood glucose level every hr. Neonatal abstinence syndrome can lead to hypoglycemia in infants. Monitoring blood glucose levels every hour allows for early detection and intervention. Providing a stimulating environment (
A) can worsen symptoms. Initiating seizure precautions (
C) is not necessary unless seizures are present. Placing the infant on his back with legs extended (
D) does not address the specific issue of neonatal abstinence syndrome.
Question 3 of 5
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: This test will determine the adequacy of placental perfusion. A non-stress test is used to assess fetal well-being by monitoring the fetal heart rate in response to fetal movement. The test helps determine if the placenta is providing enough oxygen to the fetus. Adequate placental perfusion is crucial for the well-being of the fetus. Option A is incorrect because a non-stress test does not confirm fetal lung maturity. Option C is incorrect because a non-stress test does not detect fetal infection. Option D is incorrect because a non-stress test does not predict maternal readiness for labor.
Question 4 of 5
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
Correct Answer: B
Rationale: The correct answer is B: A client who has gestational diabetes mellitus. Induction of labor with misoprostol is safe for clients with gestational diabetes mellitus as it does not affect blood glucose levels. Misoprostol is contraindicated in clients with active genital herpes (
Choice
A) due to risk of viral transmission. It is also contraindicated in clients with a previous uterine incision (
Choice
C) as it may increase the risk of uterine rupture. Clients with placenta previa (
Choice
D) should not undergo induction with misoprostol due to the risk of increasing bleeding.
Question 5 of 5
A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: your contractions will become more intense when walking. This is because false labor contractions typically decrease in intensity or stop completely when the individual changes positions or engages in physical activity. This is a key characteristic that helps differentiate false labor from true labor.
Choices B, C, and D are incorrect as they are more indicative of true labor, where there is cervical dilation, effacement, bloody show, and regular contractions. It is important for the nurse to emphasize this distinction to ensure pregnant individuals can recognize the signs of true labor and seek appropriate care.