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 full-term newborn upon 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. This finding may indicate the presence of Down syndrome or other genetic disorders. The presence of single palmar creases warrants further evaluation by the provider to rule out any underlying conditions. Transient circumoral cyanosis, subconjunctival hemorrhage, and rust-stained urine are common and typically benign findings in newborns that do not require immediate reporting.
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: Contractions last 60 seconds. Prolonged contractions can lead to uterine hyperstimulation, which can decrease oxygen supply to the fetus, posing a risk of fetal distress. Discontinuing oxytocin in this situation is crucial to prevent further complications.
B: Non-repetitive early decelerations are not directly related to oxytocin administration and do not warrant discontinuation of the medication.
C: 6 contractions in 10 minutes is a sign of uterine hyperstimulation but alone may not be enough to discontinue oxytocin.
D: Moderate variability of the fetal heart rate is a reassuring sign of fetal well-being, not an indication to discontinue oxytocin.
Question 3 of 5
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous Discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite, typically presenting with a foul-smelling, greenish-yellow vaginal discharge. This discharge is a hallmark symptom of trichomoniasis due to inflammation and infection of the vaginal mucosa. Other choices are incorrect because:
A) Thick, White Vaginal Discharge is more indicative of a yeast infection;
B) Urinary Frequency is not a common symptom of trichomoniasis;
C) Vulva Lesions are not typically associated with trichomoniasis at 20 weeks of gestation.
Question 4 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, low platelet count can indicate thrombocytopenia, a serious complication that can lead to bleeding. This finding requires immediate attention to prevent severe complications like hemorrhage or organ damage.
A: Urine protein concentration within normal range for preeclampsia.
B: Creatinine within normal range, not a priority in this scenario.
C: Hemoglobin within normal range, not a priority in this scenario.
Question 5 of 5
A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D because a chest circumference smaller than the head circumference is a normal finding in a newborn due to the larger head size compared to the chest. This is known as head sparing and is essential for brain development. Bulging fontanels (choice
A) are abnormal and may indicate increased intracranial pressure. Nasal flaring (choice
B) is a sign of respiratory distress. A length of 40 cm (choice
C) is within the average range but not a specific expectation upon admission.
Therefore, choice D is the most appropriate expectation for a newborn assessment.