ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Extract:
Question 1 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her toddler for a younger sibling.
Correct Answer: B
Rationale: The correct answer is B. Moving the toddler out of the crib 2 weeks before the due date allows the toddler to adjust to the change before the newborn arrives, reducing feelings of displacement or jealousy. Holding the newborn when introducing them may overwhelm the toddler. Placing the toddler in timeout for regressive behavior is not an appropriate or effective way to address their emotions during this transition.
Question 2 of 5
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Avoid using lotion or ointment on the newborn skin. Phototherapy is used to treat jaundice in newborns by breaking down bilirubin in the skin. Using lotions or ointments can interfere with the effectiveness of phototherapy as they can block the light from reaching the skin. Dressing the newborn in lightweight clothing can help expose more skin to the light. Keeping the newborn supine throughout treatment is not necessary for phototherapy. Measuring the newborn's temperature every 8 hours is important but not directly related to phototherapy.
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 of pregnancy, it is important to screen for gestational diabetes. The 1-hour glucose tolerance test helps in detecting elevated blood sugar levels. It is a routine test to assess the risk of gestational diabetes.
Choice B: Rubella titer is typically done early in pregnancy to check immunity to rubella and is not necessary at 24 weeks.
Choice C: Group B strep culture is usually done around 35-37 weeks gestation to determine if the mother carries group B strep bacteria, not at 24 weeks.
Choice D: Blood type and Rh testing are important in early pregnancy to determine if the mother is Rh-positive or negative and to assess compatibility with the baby's blood type. This test is not specific to 24 weeks.
Therefore, the 1-hour glucose tolerance test is the most relevant test to conduct at the 24-week prenatal appointment.
Question 4 of 5
A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: The correct answer is B: Increased urination. Hyperglycemia, high blood sugar level, in gestational diabetes mellitus can lead to osmotic diuresis, causing increased urination (polyuria). This occurs because the kidneys try to eliminate excess glucose from the blood by excreting it in the urine, resulting in increased urine production. Double vision is associated with hyperglycemia in diabetic ketoacidosis, not specifically gestational diabetes. Sweating and dizziness are more commonly related to hypoglycemia, low blood sugar. Hence, the most specific and indicative clinical finding of hyperglycemia in gestational diabetes is increased urination.
Question 5 of 5
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous Discharge. Trichomoniasis, a sexually transmitted infection, commonly presents with a foul-smelling vaginal discharge. At 20 weeks of gestation, the client may experience an increase in vaginal discharge due to hormonal changes, but the characteristic of trichomoniasis discharge is malodorous. Thick, white discharge is more indicative of a yeast infection. Urinary frequency is not a typical symptom of trichomoniasis. Vulva lesions are not a common presentation of this infection.
Therefore, based on the client's gestational age and the specific symptom of malodorous discharge, choice D is the most appropriate expectation.