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 at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Platelet Count 60,000/mm3. In preeclampsia, a low platelet count (thrombocytopenia) can indicate the development of HELLP syndrome, a severe variant of preeclampsia. Thrombocytopenia can lead to abnormal bleeding and is a significant concern for both the mother and the fetus. Reporting this finding promptly to the provider is crucial for timely intervention to prevent complications.
Other choices are incorrect because:
A: Urine protein concentration within the range of 200 mg/24 hr is expected in preeclampsia.
B: Creatinine level of 0.8 mg/dL is within the normal range and not indicative of immediate concern.
C: Hemoglobin level of 14.8 g/dL is within the normal range and not directly related to preeclampsia complications.
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 typically spread through direct contact with an infected person or contaminated surfaces. By implementing contact precautions, the nurse can prevent the transmission of MRSA to other patients or healthcare workers. Droplet precautions are used for infections spread through respiratory droplets, such as influenza. Airborne precautions are used for diseases like tuberculosis that are transmitted through small droplets that remain in the air. Protective environment is used for immunocompromised patients to protect them from outside infections.
Therefore, in this case, contact precautions are the most appropriate choice to prevent the spread of MRSA.
Question 3 of 5
A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Consume food served at cool temperatures. This recommendation is appropriate for alleviating nausea and vomiting during early pregnancy because warm or hot foods can trigger these symptoms. Cold foods are often better tolerated and can help reduce nausea.
Choice A is incorrect as avoiding snacks before bedtime may not necessarily help with nausea.
Choice B of eating high-fat snacks before getting out of bed may worsen symptoms.
Choice C of drinking additional liquids with each meal may not address the underlying cause of nausea.
Question 4 of 5
A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching.
Correct Answer: C
Rationale: The correct answer is C because checking urine for protein daily is crucial in monitoring preeclampsia. Proteinuria is a key indicator of worsening preeclampsia, and early detection is essential. Option A is incorrect as fetal movement should be monitored daily. Option B is incorrect because alternating arms for blood pressure checks is unnecessary. Option D is incorrect as the recommended protein intake is individualized and typically higher than 50g/day during pregnancy.
Question 5 of 5
A nurse is assisting with an amniotomy on a client who is in labor. Which of the following situations should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure that the fetal head is engaged. This is crucial before performing an amniotomy to prevent cord prolapse. The engaged fetal head helps maintain a good seal between the presenting part and the cervix, reducing the risk of cord compression. Placing the client in the left lateral position or giving clean gloves to the provider are not directly related to ensuring the fetal head is engaged. Checking the client's temperature every 4 hours after the procedure is important for monitoring maternal well-being but is not directly related to the amniotomy procedure itself.