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 in a provider’s office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Negele’s rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)
Correct Answer: A
Rationale: The correct answer is A: December 15. Negele's rule estimates the due date by adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding a year. In this case, March 8 + 7 days = March 15. Subtracting 3 months gives us December 15, which is the estimated due date. Other choices are incorrect because they do not follow the correct calculation based on Negele's rule.
Choice B (October 30) is incorrect as it does not account for adding a year and subtracting 3 months.
Choice C (January 15) is incorrect as it only adds 7 days and subtracts 3 months without adding a year.
Choice D (Nov 30) is incorrect as it only adds 7 days to the last menstrual period date without accounting for subtracting 3 months and adding a year.
Question 2 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: “You can bathe and dress your baby if you’d like to.” This statement empowers the client to make decisions about what they want to do with their baby, respecting their autonomy and providing support in their grieving process. It acknowledges the client's need for control and involvement in the situation.
Choice B is incorrect because it assumes holding the baby is necessary for the grieving process, which may not be the case for every individual.
Choice C is incorrect as naming the baby may not be the right choice for everyone and should be left to the parents to decide.
Choice D is incorrect as it minimizes the client's current loss and may be seen as insensitive. It is important to focus on the client's current feelings and needs rather than future possibilities.
Question 3 of 5
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
Correct Answer: B
Rationale: The correct answer is B: A client who has gestational diabetes mellitus. Misoprostol is commonly used for labor induction in cases of gestational diabetes mellitus to prevent complications associated with prolonged pregnancy. It helps in ripening the cervix and initiating contractions. Clients with active genital herpes are not candidates for misoprostol due to the risk of exacerbating the infection. Clients with a previous uterine incision are at risk for uterine rupture with misoprostol. Clients with placenta previa should not undergo labor induction with misoprostol due to the risk of increasing bleeding.
Question 4 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccinations? Select all that apply.
Correct Answer: C,D
Rationale: The correct answers are C (Diphtheria - acellular pertussis) and D (Inactivated influenza) for a client at 30 weeks of gestation. These vaccinations are safe and recommended during pregnancy to protect both the mother and baby. Diphtheria and pertussis protection is important to prevent transmission to the newborn. Influenza vaccine reduces the risk of severe complications for the mother and baby. Varicella (
A) and Human papillomavirus (
B) vaccines are contraindicated during pregnancy due to potential risks to the fetus.
Question 5 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.