ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Extract:
Question 1 of 5
A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Contraction durations of 95 to 100 seconds. Prolonged contractions of this length can indicate uterine hyperstimulation, which may lead to fetal distress. Reporting this to the provider is crucial to prevent potential harm to the fetus.
Choice B is incorrect because a contraction frequency of 2 to 3 minutes apart is within the normal range.
Choice C is incorrect as absent early deceleration is a normal finding.
Choice D is incorrect as a fetal heart rate of 140/min is within a normal range for a fetus.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique.
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if the end of the penis appears dark red. This is correct because dark red coloration at the end of the penis could indicate infection or impaired circulation, which are serious complications that need immediate medical attention.
Choice A is incorrect because the plastibell is typically left in place for several days, not removed after 4 hours.
Choice C is incorrect as a snug diaper could cause irritation to the surgical site.
Choice D is incorrect because yellow exudate is a normal part of the healing process and is expected within the first 24 hours post-circumcision.
Question 3 of 5
A nurse is assessing a client during her first prenatal visit. The client reports March 20th as her last menstrual period. Use Nagele's rule to calculate the estimated date of delivery.
Correct Answer: B
Rationale: The correct answer is B: 12/27. Nagele's rule is used to estimate the due date by adding 7 days and subtracting 3 months from the first day of the last menstrual period. In this case, March 20 + 7 days = March 27.
Then, subtracting 3 months gives us December 27 as the estimated due date.
Choice A (03/20) is incorrect because it is the same as the last menstrual period date and not applying Nagele's rule.
Choices C (11/27) and D (10/03) are incorrect as they do not follow the correct calculation method.
Question 4 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 option respects the mother's wishes while also providing education on proper newborn care. By demonstrating and allowing the client to practice holding the newborn, the nurse can ensure the baby's safety and promote bonding. Insisting on the mother picking up the newborn (option
A) goes against her wishes and may cause tension. Persuading the client to breastfeed (option
C) may not be suitable if the mother prefers bottle-feeding. Offering to take the newborn to the nursery (option
D) disregards the mother's desire to care for her baby.
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. False labor, also known as Braxton Hicks contractions, typically do not indicate true labor. Walking can often lessen the intensity of false contractions, distinguishing them from true labor.
Choice B is incorrect because dilation and effacement of the cervix are indicative of true labor.
Choice C, bloody show, is also a sign of true labor.
Choice D is incorrect as false labor contractions are irregular, not temporally regular.