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 who is 27 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Platelet count 60,000/mm³. In pre-eclampsia, low platelet count can indicate HELLP syndrome, a severe variant requiring immediate intervention. Thrombocytopenia can lead to bleeding complications for both the mother and the fetus. Reporting this finding promptly can help prevent serious complications.
Choice A (Hemoglobin 14.8 g/dL) is within normal range and not a concerning finding in pre-eclampsia.
Choice C (Creatinine 0.8 mg/dL) is also within normal limits and not typically a primary concern in pre-eclampsia.
Choice D (Urine protein concentration 200 mg/24hr) is a common finding in pre-eclampsia, indicating proteinuria, but it is not as urgent as thrombocytopenia.
Question 2 of 5
A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure the newborn’s mouth is wide open before latching to the breast. This is important because a proper latch is crucial in preventing sore nipples during breastfeeding. When the newborn's mouth is wide open, it ensures that the nipple is deeply in the baby's mouth, allowing for a more effective and comfortable feeding. This helps prevent nipple trauma and decreases the likelihood of soreness.
Choice A is incorrect because placing a snug dressing on the nipple can further irritate the area and hinder proper healing.
Choice C is incorrect as limiting the feeding time can lead to inadequate milk intake for the baby.
Choice D is incorrect as starting with the most tender nipple can worsen the soreness.
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique.
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if the end of the penis appears dark red. This is correct because dark red coloration at the end of the penis could indicate infection or impaired circulation, which are serious complications that need immediate medical attention.
Choice A is incorrect because the plastibell is typically left in place for several days, not removed after 4 hours.
Choice C is incorrect as a snug diaper could cause irritation to the surgical site.
Choice D is incorrect because yellow exudate is a normal part of the healing process and is expected within the first 24 hours post-circumcision.
Question 4 of 5
A nurse is assessing a client who is 27 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Platelet count 60,000/mm³. In pre-eclampsia, low platelet count can indicate HELLP syndrome, a severe variant requiring immediate intervention. Thrombocytopenia can lead to bleeding complications for both the mother and the fetus. Reporting this finding promptly can help prevent serious complications.
Choice A (Hemoglobin 14.8 g/dL) is within normal range and not a concerning finding in pre-eclampsia.
Choice C (Creatinine 0.8 mg/dL) is also within normal limits and not typically a primary concern in pre-eclampsia.
Choice D (Urine protein concentration 200 mg/24hr) is a common finding in pre-eclampsia, indicating proteinuria, but it is not as urgent as thrombocytopenia.
Question 5 of 5
A nurse is using Nagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: C
Rationale: The correct answer is C: May 5th. Nagele's rule is to add 7 days to the first day of the last menstrual period (July 28th), then subtract 3 months, and finally add 1 year.
Therefore, July 28th + 7 days = August 4th. Subtracting 3 months gives May 4th. Adding 1 year brings us to May 5th, the expected delivery date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation process.
Choice B (April 4th) is too early based on Nagele's rule.
Choice D (May 21st) is too late as it does not account for subtracting 3 months.