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 in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure 88/58 mmHg. Terbutaline is a tocolytic medication used to stop preterm labor by relaxing the uterine muscles. Hypotension is a potential side effect of terbutaline due to its beta-adrenergic agonist properties. A blood pressure of 88/58 mmHg indicates hypotension, which can be exacerbated by terbutaline. The nurse should withhold the medication and promptly report this finding to the provider to prevent further complications such as decreased perfusion to vital organs.
Incorrect choices:
A: Fasting blood glucose 75 mg/dL - Normal blood glucose level, not contraindicated for terbutaline administration.
C: Urinary output 40 mL/hr - Normal urinary output, not contraindicated for terbutaline administration.
D: FHR 120/min - Normal fetal heart rate, not contraindicated for terbutaline
Question 2 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 3 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her five-day-old male newborn at home.
Correct Answer: D
Rationale: The correct answer is D: Notify your baby's pediatrician if he urinates less than 6 times per day. This is important because adequate urine output indicates proper hydration and kidney function in newborns. A decrease in urine output may indicate dehydration or other underlying issues that need to be addressed promptly. It is crucial for the nurse to educate the mother on monitoring her baby's urine output to ensure the baby's health and well-being.
Choice A is incorrect because retracting the foreskin to clean the baby's penis is not recommended as it can lead to injury and infection.
Choice B is incorrect because using triple antibiotic ointment on the umbilical cord can increase the risk of infection.
Choice C is incorrect because swaddling tightly with legs extended can increase the risk of hip dysplasia. It is important to educate parents on safe sleep practices for newborns.
Question 4 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 5 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: D
Rationale:
Correct Answer: D - 1 cup cooked broccoli
Rationale: Broccoli is a good source of calcium, with around 43 mg per cup. This is higher than the other options listed. Avocado, banana, and potato are not significant sources of calcium.
Therefore, broccoli is the best choice to ensure adequate calcium intake for a vegan pregnant client.
Summary:
A: Avocado is not a high source of calcium.
B: Banana is not a high source of calcium.
C: Potato is not a high source of calcium.
D: Broccoli has the highest amount of calcium among the options provided.