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 newborn upon admission to the nursery. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Chest circumference 2 cm smaller than the head circumference. This is expected in a newborn as the head circumference is typically larger than the chest circumference due to the size of the brain. This difference in measurements is known as the head-to-chest ratio and is a normal finding in a newborn. Bulging fontanels (
A) may indicate increased intracranial pressure, nasal flaring (
B) can be a sign of respiratory distress, and a length of 40 cm (
C) is within the normal range but not specifically related to the chest circumference.
Question 2 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother states 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This option respects the mother's wishes while also providing education on proper newborn care. By demonstrating and allowing the client to practice holding the newborn, the nurse can ensure the baby's safety and promote bonding. Insisting on the mother picking up the newborn (option
A) goes against her wishes and may cause tension. Persuading the client to breastfeed (option
C) may not be suitable if the mother prefers bottle-feeding. Offering to take the newborn to the nursery (option
D) disregards the mother's desire to care for her baby.
Question 3 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Breast Tenderness. Clomiphene citrate is a medication commonly used for infertility treatment. One of its common side effects is breast tenderness due to its estrogenic effects on the body. The medication works by stimulating ovulation, which can lead to increased estrogen levels, resulting in breast tenderness. Tinnitus (
A), urinary frequency (
B), and chills (
D) are not typically associated with clomiphene citrate use in the context of infertility treatment.
Therefore, they are incorrect choices.
Question 4 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Correct Answer: B
Rationale: The correct answer is B: Allow the baby to feed at least every 3 hours. This is important for establishing a good breastfeeding routine and ensuring the baby receives enough nutrition. Feeding every 3 hours helps maintain the baby's hydration and promotes milk production.
Choice A is incorrect because newborns typically need more frequent feedings, about 8-12 times a day.
Choice C is incorrect as newborns should only be offered breast milk or formula, not water.
Choice D is incorrect because newborns should feed until they are satisfied, not limited to a specific time frame.
Question 5 of 5
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
Correct Answer: B
Rationale: The correct answer is B: A client who has gestational diabetes mellitus. Misoprostol is commonly used for labor induction in cases of gestational diabetes mellitus to prevent complications associated with prolonged pregnancy. It helps in ripening the cervix and initiating contractions. Clients with active genital herpes are not candidates for misoprostol due to the risk of exacerbating the infection. Clients with a previous uterine incision are at risk for uterine rupture with misoprostol. Clients with placenta previa should not undergo labor induction with misoprostol due to the risk of increasing bleeding.