ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
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: The correct answer is B: You should give your toddler a gift from the baby when she visits. This choice promotes positive associations between the toddler and the new sibling, fostering a sense of inclusion and bonding. A gift can help the toddler feel special and valued during the transition.
Choices A, C, and D are incorrect as they do not address the emotional and psychological needs of the toddler in preparing for a new sibling. Holding the newborn in front of the toddler may overwhelm or intimidate the toddler. Moving the toddler out of the crib early may disrupt routine and cause anxiety. Placing the toddler in timeout for regressive behavior can create negative associations with the new sibling.
Question 2 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: The correct answer is B: You should give your toddler a gift from the baby when she visits. This choice promotes positive associations between the toddler and the new sibling, fostering a sense of inclusion and bonding. A gift can help the toddler feel special and valued during the transition.
Choices A, C, and D are incorrect as they do not address the emotional and psychological needs of the toddler in preparing for a new sibling. Holding the newborn in front of the toddler may overwhelm or intimidate the toddler. Moving the toddler out of the crib early may disrupt routine and cause anxiety. Placing the toddler in timeout for regressive behavior can create negative associations with the new sibling.
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. This blood pressure reading indicates hypotension, which could be a potential side effect of terbutaline. Hypotension can worsen maternal and fetal perfusion, leading to adverse outcomes. The nurse should withhold the medication and report this finding to the provider immediately.
Choices A, C, and D are within normal limits and do not require withholding the medication. A fasting blood glucose of 75 mg/dL is normal, urinary output of 40 ml/hr is adequate, and a fetal heart rate of 120/min is also within the normal range for a preterm fetus.
Question 4 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin to skin contact. This is important to minimize the risk of HIV transmission from the mother to the newborn. Bathing the newborn helps to remove any potential blood or body fluids that may contain the virus. Initiating skin to skin contact without bathing the newborn first could increase the risk of transmission.
Choice A is incorrect because using a fetal scalp electrode during labor and delivery is unrelated to preventing HIV transmission.
Choice C is incorrect because instructing the client to stop taking antiretroviral medication at 32 weeks of gestation could harm both the mother and the baby by increasing the risk of HIV transmission.
Choice D is incorrect because administering pneumococcal immunization to the newborn within 4 hours following birth is not directly related to preventing HIV transmission.
In summary, bathing the newborn before initiating skin to skin contact is the most appropriate action to prevent HIV transmission in this scenario.
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: C
Rationale: The correct answer is C. 6 contractions in 10 minutes can indicate hyperstimulation of the uterus, which can lead to fetal distress. Discontinuing oxytocin in this situation is crucial to prevent harm to the fetus. Contractions lasting 60 seconds (
A) are within normal range. Non-repetitive early decelerations (
B) are common and not a reason to discontinue oxytocin. Moderate variability in fetal heart rate (
D) is a sign of fetal well-being.