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 is assessing a client during her first prenatal visit. The client reports March 20th as her last menstrual period. Use Nagele's rule to calculate the estimated date of delivery.
Correct Answer: B
Rationale: The correct answer is B: 12/27. Nagele's rule is used to estimate the due date by adding 7 days and subtracting 3 months from the first day of the last menstrual period. In this case, March 20 + 7 days = March 27.
Then, subtracting 3 months gives us December 27 as the estimated due date.
Choice A (03/20) is incorrect because it is the same as the last menstrual period date and not applying Nagele's rule.
Choices C (11/27) and D (10/03) are incorrect as they do not follow the correct calculation method.
Question 2 of 5
A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?
Correct Answer: D
Rationale:
Correct Answer: D - A client who has felt quickening for the first time.
Rationale: Quickening refers to the first perception of fetal movement by the mother, typically around 18-20 weeks of gestation. Auscultating the fetal heart rate at this point confirms fetal viability, provides reassurance, and allows for monitoring of the fetal well-being. It is an essential part of prenatal care to ensure the health and development of the fetus.
Summary of Other
Choices:
A: A client with a molar pregnancy does not have a viable fetus, so auscultating the fetal heart rate is not applicable.
B: A crown-rump length of 7 weeks gestation is still early in pregnancy, and fetal heart tones may not be reliably detected at this point.
C: A positive urine pregnancy test 1 week after missed menses indicates early pregnancy, but it is too early to reliably auscultate the fetal heart rate.
Question 3 of 5
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: This test will determine adequacy of placental perfusion. The non-stress test is used to assess fetal well-being by monitoring fetal heart rate in response to fetal movement. It helps determine if the placenta is providing enough oxygen and nutrients to the fetus. This is crucial in determining the adequacy of placental perfusion and ensuring the baby's health. The other choices are incorrect because:
A) Fetal lung maturity is typically confirmed through other tests like an amniocentesis;
C) Detecting fetal infection would require different diagnostic tests;
D) Predicting maternal readiness for labor is not the purpose of a non-stress test.
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 upon admission to the nursery. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Chest circumference 2 cm smaller than the head circumference. This is expected in a newborn as the head circumference is typically larger than the chest circumference due to the size of the brain. This difference in measurements is known as the head-to-chest ratio and is a normal finding in a newborn. Bulging fontanels (
A) may indicate increased intracranial pressure, nasal flaring (
B) can be a sign of respiratory distress, and a length of 40 cm (
C) is within the normal range but not specifically related to the chest circumference.