ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 5
A nurse is caring for a newborn who is 24 hr. old. Which of the following Laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: A WBC count of 32,000/mm3 is significantly elevated and falls outside the normal range for a newborn. This could indicate an infection or other underlying health issue that requires further investigation and intervention. It is crucial for the nurse to report this abnormal finding to the healthcare provider promptly for appropriate evaluation and management. High WBC counts in newborns are often a cause for concern and may require immediate medical attention.
Question 2 of 5
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: In placenta previa, the placenta partially or completely covers the cervix, which can lead to vaginal bleeding. Continuous monitoring of the fetal heart rate (FHR) is crucial in this situation to assess the well-being of the fetus. Any signs of distress or changes in the FHR can indicate potential complications, such as fetal hypoxia. This monitoring allows for prompt intervention if necessary to ensure the safety of both the mother and the baby. Administering betamethasone may be indicated to promote fetal lung maturity in cases of anticipated preterm birth, but it is not the priority in this scenario where monitoring the fetal well-being is crucial. Checking the cervix for dilation every 8 hours is not necessary and may increase the risk of further bleeding. Misoprostol, a medication used to induce labor, is contraindicated in cases of placenta previa because it can cause further
Question 3 of 5
Which of the following is an example of healthy grieving?
Correct Answer: D
Rationale: Option D, while holding the baby, the mother saying to her husband, "He has your eyes and nose," is an example of healthy grieving. In this scenario, the mother is acknowledging the baby, expressing emotions, and involving her partner in the process. Verbalizing thoughts and emotions, as well as creating meaningful connections with relevant support persons, are important aspects of healthy grieving. Sharing memories and recognizing the physical similarities between the baby and family members can be therapeutic in the grieving process.
Question 4 of 5
Which foods control option. Which is the most effective and should she discuss?
Correct Answer: B
Rationale: Among the options provided, the most effective birth control method is the copper intrauterine device (IUD). IUDs are over 99% effective at preventing pregnancy and provide long-term contraception without the need for daily management. Copper IUDs work by releasing copper ions that are toxic to sperm, thus preventing fertilization. It is a reversible form of birth control and can be easily removed if a person decides to become pregnant. Additionally, IUDs do not contain hormones, making them a suitable option for individuals who prefer non-hormonal birth control methods. It is advisable for the individual to discuss the possibility of using a copper IUD with their healthcare provider to determine if it is the right choice for them based on their specific health needs and preferences.
Question 5 of 5
A nurse is reviewing the prenatal laboratory results. to feed.
Correct Answer: B
Rationale: Platelets are essential for blood clotting and preventing excessive bleeding. A platelet count of 300,000 per μL of blood is within the normal range for adults, indicating that the nurse can proceed with breastfeeding without concerns related to the platelet count. High platelet levels can be associated with conditions like thrombocytosis, which may increase the risk of blood clotting, but in this case, the platelet count is within the normal range. Therefore, the nurse can focus on other factors when determining the readiness for breastfeeding, such as the baby's ability to latch effectively and the mother's comfort and milk supply.