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 woman’s health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)?
Correct Answer: D
Rationale: The correct answer is D: Chlamydia Infection. Chlamydia is a common sexually transmitted infection that can lead to PID if left untreated. The bacteria can ascend from the cervix to the upper genital tract, causing inflammation and scarring. This increases the risk of PID. Recurrent Cystitis (
A) is a urinary tract infection and not directly related to PID. Frequent Alcohol Use (
B) does not directly increase the risk of developing PID. Use of Oral Contraceptives (
C) actually decreases the risk of PID by reducing the chances of getting sexually transmitted infections.
Question 2 of 5
A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Feed the newborn immediately. In this scenario, the newborn's low blood glucose level may be due to inadequate glycogen stores from the mother's diabetes. Feeding the newborn will help increase their blood glucose levels naturally. Other choices are incorrect because: A: Obtaining a blood sample for a serum glucose level delays immediate action. C: Administering dextrose solution IV is an invasive intervention that should be reserved for severe cases. D: Reassessing the blood glucose level is important but should not delay feeding in this critical situation. E, F, G: No information given.
Question 3 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 decision while also providing education and support. By demonstrating proper newborn holding techniques and allowing the client to practice, the nurse can ensure the baby's safety and promote bonding between the mother and newborn. Insisting on the mother picking up the newborn (choice
A) goes against her wishes and may create tension. Persuading the client to breastfeed (choice
C) may not be feasible or appropriate at that moment. Taking the newborn to the nursery (choice
D) may not align with the mother's preferences.
Question 4 of 5
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Platelet Count 60,000/mm3. In preeclampsia, low platelet count can indicate thrombocytopenia, a serious complication that can lead to bleeding. This finding requires immediate attention to prevent severe complications like hemorrhage or organ damage.
A: Urine protein concentration within normal range for preeclampsia.
B: Creatinine within normal range, not a priority in this scenario.
C: Hemoglobin within normal range, not a priority in this scenario.
Question 5 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. Induction of labor with misoprostol is safe for clients with gestational diabetes mellitus as it does not affect blood glucose levels. Misoprostol is contraindicated in clients with active genital herpes (
Choice
A) due to risk of viral transmission. It is also contraindicated in clients with a previous uterine incision (
Choice
C) as it may increase the risk of uterine rupture. Clients with placenta previa (
Choice
D) should not undergo induction with misoprostol due to the risk of increasing bleeding.