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 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 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 reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Platelets 100,000/mm³. This finding indicates thrombocytopenia, which can lead to bleeding disorders in newborns. Reporting this to the provider is crucial for further evaluation and management.
Incorrect options:
A: Blood glucose 58 mg/dL - This value is within the normal range for newborns.
B: Hematocrit 48% - This value is also within the normal range for newborns.
D: Hemoglobin 16 g/dL - This value is within the normal range for newborns.
Question 4 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks of pregnancy, it is important to screen for gestational diabetes. The 1-hour glucose tolerance test helps in detecting elevated blood sugar levels. It is a routine test to assess the risk of gestational diabetes.
Choice B: Rubella titer is typically done early in pregnancy to check immunity to rubella and is not necessary at 24 weeks.
Choice C: Group B strep culture is usually done around 35-37 weeks gestation to determine if the mother carries group B strep bacteria, not at 24 weeks.
Choice D: Blood type and Rh testing are important in early pregnancy to determine if the mother is Rh-positive or negative and to assess compatibility with the baby's blood type. This test is not specific to 24 weeks.
Therefore, the 1-hour glucose tolerance test is the most relevant test to conduct at the 24-week prenatal appointment.
Question 5 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.