ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Question 1 of 5
A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Platelet count 60,000/mm. In pre-eclampsia, platelet count can decrease due to the risk of developing HELLP syndrome, a severe form of pre-eclampsia. Thrombocytopenia can lead to bleeding complications and is a serious concern in pregnancy. Reporting this finding to the provider is crucial for timely intervention.
Incorrect choices:
A: Hemoglobin level within normal range, not a priority.
C: Creatinine level within normal range, not directly related to pre-eclampsia.
D: Urine protein concentration of 200 mg/24hr is indicative of proteinuria, a common finding in pre-eclampsia, but not as critical as low platelet count.
Question 2 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 newborns, causing hearing loss. CMV can affect the inner ear, leading to sensorineural hearing loss. This is a common complication of congenital CMV infection. The other options are not typically associated with congenital CMV infection. Urinary tract infection (
A) is not a common manifestation. Macrosomia (
C) refers to a large birth weight, which is not typically associated with CMV infection. Cataracts (
D) are not a common finding in newborns with congenital CMV infection.
Question 3 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 crucial to screen for gestational diabetes. This test helps identify if the client's body is processing sugar properly during pregnancy. Rubella titer and Group B strep culture are important tests but not typically done at 24 weeks. Blood type and Rh testing is usually done earlier in pregnancy, around 8-12 weeks. The 1-hour glucose tolerance test is the most relevant test for this stage of prenatal care to monitor the client's glucose levels and ensure the well-being of both the mother and baby.
Question 4 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:
Step 1 (
A): Asking the client to lie on her back with knees flexed allows for proper access to the fundus and facilitates the massage.
Step 2 (
B): Positioning one hand around the top of the client's uterus and the other just above the symphysis pubis helps in locating and stabilizing the fundus.
Step 3 (
C): Rotating the upper hand to massage the uterus while applying slight downward pressure helps in stimulating contractions and reducing uterine atony.
Step 4 (
D): Observing the client's perineum for clots and bleeding is important to assess postpartum hemorrhage.
Summary:
Choice E, F, and G are incorrect as they do not provide essential steps for performing a fundal massage. E: There is no action step here. F and G: These steps are not necessary before the primary steps of fundal massage.
Question 5 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 to the provider because it indicates thrombocytopenia, which is a low platelet count and can lead to bleeding disorders in newborns. Platelets are essential for blood clotting, so a low count can be concerning.
Choice A (Blood glucose 58 mg/DL) is within the normal range for newborns.
Choice B (Hematocrit 48%) is also within the normal range.
Choice D (Hemoglobin 16 g/DL) is slightly elevated but not a critical finding in a newborn.