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 who was born Post term. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Nails extending over tips of fingers. Post-term newborns have longer nails due to prolonged intrauterine growth. This is an expected finding in post-term infants.
Choice B is incorrect as post-term infants may have less subcutaneous fat due to nutrient depletion.
Choice C is incorrect as post-term infants may have dry, cracked skin rather than translucent.
Choice D is incorrect as post-term infants may have less lanugo hair due to gestational age.
Question 2 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.
Question 3 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: newborn who has nasal flaring. Nasal flaring indicates respiratory distress, which is a critical condition requiring immediate attention to ensure adequate oxygenation. Nasal flaring suggests that the newborn is having difficulty breathing and may lead to hypoxia if not addressed promptly. Assessing and addressing respiratory distress is a priority in newborn care to prevent further complications.
Choices B, C, and D do not pose immediate life-threatening concerns. Subconjunctival hemorrhage and overlapping suture lines are common in newborns and typically resolve on their own. Rust-stained urine may indicate hematuria, which should be monitored but does not require immediate attention compared to respiratory distress.
Question 4 of 5
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: This test will determine adequacy of placental perfusion. The non-stress test is used to assess fetal well-being by monitoring fetal heart rate in response to fetal movement. It helps determine if the placenta is providing enough oxygen and nutrients to the fetus. This is crucial in determining the adequacy of placental perfusion and ensuring the baby's health. The other choices are incorrect because:
A) Fetal lung maturity is typically confirmed through other tests like an amniocentesis;
C) Detecting fetal infection would require different diagnostic tests;
D) Predicting maternal readiness for labor is not the purpose of a non-stress test.
Question 5 of 5
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
Correct Answer: D
Rationale: The correct answer is D: Sternal retractions. This finding indicates respiratory distress in the newborn, which requires immediate intervention to ensure adequate oxygenation. Sternal retractions suggest increased work of breathing and potential respiratory compromise. Molding (
A) is a normal physiological process related to the passage through the birth canal. Vernix Caseosa (
B) is a protective substance on the newborn's skin and is normal. Acrocyanosis (
C) is a common finding in newborns due to immature circulation and usually resolves on its own. In summary, sternal retractions are concerning for respiratory distress, while the other findings are normal or expected in the immediate post-birth period.