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 vagina into the upper reproductive organs, causing inflammation and scarring. This increases the risk of PID. Recurrent Cystitis (
A) is a bladder infection and does not directly increase the risk of PID. Frequent Alcohol Use (
B) and Use of Oral Contraceptives (
C) are not directly linked to PID development.
Therefore, the presence of Chlamydia infection poses the highest risk for developing PID in this scenario.
Question 2 of 5
A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply a cap to the newborn head. The newborn's respiratory rate, heart rate, and temperature are within normal range for a 1-hour-old infant. However, the temperature is slightly low. Applying a cap to the newborn's head can help prevent heat loss and maintain a stable body temperature. Giving a warm bath (
A) can cause further heat loss. Repositioning the newborn (
C) is not necessary based on the information provided. Obtaining an oxygen saturation level (
D) is not indicated as the vital signs are within normal limits.
Question 3 of 5
A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (SATA).
Correct Answer: A
Rationale: The correct answer is A because amnionitis, leakage of amniotic fluid, and preterm labor are potential complications following an amniocentesis. Amnionitis is an infection of the amniotic fluid, leakage of amniotic fluid can lead to premature rupture of membranes, and preterm labor can be triggered by the procedure. Hypertension , hyperglycemia , and maternal hypotension are not typically associated with amniocentesis.
Therefore, choices B, C, and D are incorrect as they do not align with the expected complications of this procedure.
Question 4 of 5
The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: Answer D is correct because applying steady pressure with a tennis ball to the lower back helps relieve back pain during labor. The tennis ball can target specific pressure points and provide comfort.
Choice A is incorrect as upward pressure on the lower abdomen is not effective for counter pressure.
Choice B is incorrect as pressure between thumb and index finger is unrelated to counter pressure.
Choice C is incorrect as pressure on the top of the uterus can be harmful.
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.