ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a full-term newborn arm admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Single Palmar creases - Down syndrome. A single palmar crease, also known as a simian crease, is a physical characteristic often seen in individuals with Down syndrome. The presence of a single palmar crease should be reported to the provider for further evaluation and possible confirmation of a Down syndrome diagnosis. Transient circumoral cyanosis (choice
A) is common in newborns and usually resolves on its own. Subconjunctival hemorrhage (choice
C) and rust stain urine (choice
D) are also common findings in newborns and do not typically require immediate provider notification.
Question 2 of 5
A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is essential to prevent infection in the newborn with Myelomeningocele, as the exposed cerebrospinal fluid increases the risk of infection. Antibiotics are crucial to prevent meningitis, a serious complication. Cleansing the site with Povidone iodine (
B) may be necessary, but it does not address the systemic infection risk. Monitoring rectal temperature (
C) is important, but not the priority over preventing infection. Surgical closure (
D) may be necessary, but antibiotics are the immediate priority.
Question 3 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. CMV infection during pregnancy can lead to congenital CMV in newborns, causing hearing loss. CMV can affect the inner ear, leading to sensorineural hearing loss. This is a common complication of congenital CMV infection. The other options are not typically associated with congenital CMV infection. Urinary tract infection (
A) is not a common manifestation. Macrosomia (
C) refers to a large birth weight, which is not typically associated with CMV infection. Cataracts (
D) are not a common finding in newborns with congenital CMV infection.
Question 4 of 5
A nurse is caring for a client who has preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: D
Rationale: The correct answer is D: Serum medication level. When a client is receiving magnesium sulfate for tocolytic therapy, monitoring the serum medication level is crucial to ensure the drug is within the therapeutic range (4-7.5 mg/dL). This is important to prevent toxicity which can lead to respiratory depression, hypotension, and cardiac arrest. Checking liver enzymes (choice
B) is not directly related to magnesium sulfate therapy. Uric acid level (choice
C) is not typically monitored during tocolytic therapy. Indirect Coombs test (choice
A) is used to detect antibodies on the surface of red blood cells, not relevant in this scenario.
Question 5 of 5
A nurse is using Niagele9s 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 a client expected delivery date? 07/28
Correct Answer: C
Rationale: The correct answer is C: May 5th.
To calculate the expected delivery date using Naegele's rule, start with the first day of the last menstrual period (July 28th), subtract 3 months, and add 7 days.
Therefore, July 28th - 3 months = April 28th + 7 days = May 5th. This is the estimated due date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation.
Choice B (April 4th) is too early based on the calculation.
Choice D (May 21st) is too late according to Naegele's rule.