ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Question 1 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B - You should give your toddler a gift from the baby when she visits.
Rationale: Giving a gift from the baby to the toddler helps create a positive association and bond between the siblings from the beginning. It can also help the toddler feel special and included in the new family dynamic. This gesture can promote a sense of love and acceptance, easing the transition for both the toddler and the newborn.
Incorrect
Choices:
A: Holding the newborn when introducing to the toddler may cause the toddler to feel overwhelmed or jealous.
C: Moving the toddler out of her crib close to the due date may disrupt her routine and lead to feelings of insecurity.
D: Placing the toddler in timeout for regressive behavior can create negative associations with the new sibling and cause emotional distress.
Question 2 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States < No, the baby is too tired to be held=. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This response promotes education and empowerment by showing the client the proper way to hold and feed the newborn, fostering a supportive and educational environment. Insisting on the mother picking up the newborn (choice
A) disregards the mother's wishes and may lead to conflict. Persuading the client to breastfeed (choice
C) may not be appropriate if the client has chosen bottle-feeding. Taking the newborn to the nursery (choice
D) does not address the client's desire to feed her baby.
Question 3 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure 88/58 mmHg. Terbutaline is a tocolytic medication used to stop preterm contractions. A low blood pressure reading of 88/58 mmHg may indicate hypotension, a potential side effect of terbutaline. Hypotension can lead to decreased placental perfusion, putting the fetus at risk. The nurse should withhold the medication and report this finding to the provider for further assessment and intervention.
A: Fasting blood glucose of 75 mg/dL is within normal range and does not require withholding the medication.
C: Urinary output of 40 ml/hr is adequate and does not indicate a need to withhold the medication.
D: Fetal heart rate of 120/min is within the normal range for a fetus and does not require withholding the medication.
Question 4 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
Correct Answer: D
Rationale: The correct answer is D. Yellow exudate forming at the surgical site in 24 hours is expected after plastibell circumcision due to the healing process. This exudate consists of dead cells and is a normal part of wound healing. It is important for the parents to be aware of this so they do not mistake it for an infection or abnormality.
Explanation for other choices:
A: The plastibell is not removed after 4 hours; it falls off on its own in about 5-10 days.
B: Dark red appearance at the end of the penis could indicate a potential issue, but immediate notification of the provider is not necessary.
C: Ensuring the newborn's diaper is snug is unrelated to the circumcision technique.
E, F, G: No information provided.
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial in preventing infection in a newborn with myelomeningocele where the spinal cord is exposed. Infection can lead to serious complications. Administering broad-spectrum antibiotics helps to reduce the risk of infection. Cleansing the site with Povidone iodine (choice
B) is important, but antibiotics are necessary for prophylaxis. Monitoring rectal temperature (choice
C) is not directly related to preventing infection. Surgical closure (choice
D) after 72 hours is important, but antibiotics are essential immediately post-birth to prevent infection.