ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.
Correct Answer: C
Rationale: The correct answer is C: Midline episiotomy. A midline episiotomy is a surgical incision made during childbirth that increases the risk of infection due to the proximity to the anus and rectum. The incision site is more prone to contamination from fecal matter, leading to a higher risk of infection. Placenta previa (
B) is a condition where the placenta partially or fully covers the cervix, which can lead to bleeding but not necessarily infection. Meconium-stained amniotic fluid (
A) can indicate fetal distress but does not directly increase the risk of infection. Prolonged labor (
D) can increase the risk of infection due to prolonged exposure to bacteria, but it is not as direct a risk factor as a midline episiotomy.
Question 3 of 5
A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: The client delivers the newborn. In the second stage of labor, the cervix is fully dilated, and the mother pushes to deliver the baby. This stage ends with the birth of the newborn.
Choice A is incorrect because expelling the placenta occurs in the third stage of labor.
Choice B is incorrect as gradual dilation of the cervix happens in the first stage.
Choice C is incorrect because regular contractions are characteristic of the first stage of labor.
Question 4 of 5
A nurse is using Nagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: C
Rationale: The correct answer is C: May 5th. Nagele's rule is to add 7 days to the first day of the last menstrual period (July 28th), then subtract 3 months, and finally add 1 year.
Therefore, July 28th + 7 days = August 4th. Subtracting 3 months gives May 4th. Adding 1 year brings us to May 5th, the expected delivery date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation process.
Choice B (April 4th) is too early based on Nagele's rule.
Choice D (May 21st) is too late as it does not account for subtracting 3 months.
Question 5 of 5
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Nails extending over tips of fingers. Post-term newborns have longer nails due to prolonged intrauterine growth. This is an expected finding in post-term infants.
Choice B is incorrect as post-term infants may have less subcutaneous fat due to nutrient depletion.
Choice C is incorrect as post-term infants may have dry, cracked skin rather than translucent.
Choice D is incorrect as post-term infants may have less lanugo hair due to gestational age.