ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last menstrual.. Use Niagele9s 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: 05/11. Naegele's rule states to add 7 days to the first day of the last menstrual period, then subtract 3 months, and add 1 year. In this case, March 20 + 7 days = March 27. Subtracting 3 months gives us December 27, and adding 1 year gives December 27 of the following year. Since December 27 is 5 months and 11 days away from March 27, the estimated due date is May 11.
Choice B is incorrect as it does not follow Naegele's rule.
Choice C is incorrect as it is one day off from the correct calculation.
Choice D is incorrect as it does not account for the correct number of days and months.
Question 2 of 5
A nurse is caring for a client who is 36 weeks gestation and has MRSA. Which of the following isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. MRSA is primarily transmitted through direct contact with the infected individual or contaminated surfaces. The nurse should wear gloves and gowns when caring for the client to prevent the spread of the infection. Droplet precautions (choice
A) are for diseases spread through respiratory droplets, airborne precautions (choice
C) are for diseases spread through airborne particles, and protective environment (choice
D) is for immunocompromised clients.
Question 3 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:
Correct Answer: D
Rationale:
1. Counter pressure helps alleviate back pain during labor.
2. Applying steady pressure with a tennis ball to the lower back can help relieve discomfort.
3. This technique is effective for providing relief during contractions.
4. The pressure on the lower back helps to release tension and promote relaxation.
Summary:
A: Incorrect - Upward pressure on lower abdomen is not effective for back pain relief.
B: Incorrect - Pressure between thumb and index finger is unrelated to counter pressure.
C: Incorrect - Pressure to top of uterus is not effective for back pain relief.
D: Correct - Steady pressure with a tennis ball on lower back is effective for back pain relief.
Question 4 of 5
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. The newborn's glucose level of 65 mg/dL is within the normal range for a 6-hour-old infant. In this case, the nurse should initiate feeding as breastfeeding or formula feeding can help stabilize the newborn's blood sugar levels. Delaying feeding could lead to hypoglycemia. Administering dextrose IV (
Choice
A) is not necessary as the glucose level is not critically low. Obtaining a blood sample for serum glucose level (
Choice
B) is unnecessary at this point. Reassessing blood glucose prior to the next feeding (
Choice
C) may delay necessary action.
Question 5 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin to skin contact. This is important to minimize the risk of HIV transmission from the mother to the newborn. Bathing the newborn helps to remove any potential blood or body fluids that may contain the virus. Initiating skin to skin contact without bathing the newborn first could increase the risk of transmission.
Choice A is incorrect because using a fetal scalp electrode during labor and delivery is unrelated to preventing HIV transmission.
Choice C is incorrect because instructing the client to stop taking antiretroviral medication at 32 weeks of gestation could harm both the mother and the baby by increasing the risk of HIV transmission.
Choice D is incorrect because administering pneumococcal immunization to the newborn within 4 hours following birth is not directly related to preventing HIV transmission.
In summary, bathing the newborn before initiating skin to skin contact is the most appropriate action to prevent HIV transmission in this scenario.