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 whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. 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 the newborn, affecting the auditory nerve and causing sensorineural hearing loss. This is because the virus can damage the inner ear structures. Urinary tract infection (
A) is not a typical manifestation of congenital CMV. Macrosomia (
C) refers to excessive birth weight, which is not associated with CMV. Cataracts (
D) are not a common finding in newborns with congenital CMV.
Question 2 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Painless vaginal bleeding. In placenta previa, the placenta partially or completely covers the cervix, leading to painless vaginal bleeding due to disruption of placental attachment.
Choice A is incorrect as a firm rigid abdomen is not a typical finding in placenta previa.
Choice C, uterine hypertonicity, is more indicative of conditions like abruptio placentae.
Choice D, persistent headache, is not directly associated with placenta previa. Thus, the nurse should expect painless vaginal bleeding in a client with placenta previa.
Question 3 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Step 1: Client understanding of the medication schedule is crucial for effective contraception.
Step 2:
Choice B indicates the client knows the correct timeframe for the next injection.
Step 3: Returning in 8 weeks ensures continuous contraceptive effect.
Step 4: Other choices lack relevance to medroxyprogesterone IM for contraception.
Summary: Option B is correct as it demonstrates understanding of the medication schedule, while other choices are unrelated to the medication's use for contraception.
Question 4 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, a sexually transmitted infection, commonly presents with a foul-smelling vaginal discharge. At 20 weeks of gestation, the client may experience an increase in vaginal discharge due to hormonal changes, but the characteristic of trichomoniasis discharge is malodorous. Thick, white discharge is more indicative of a yeast infection. Urinary frequency is not a typical symptom of trichomoniasis. Vulva lesions are not a common presentation of this infection.
Therefore, based on the client's gestational age and the specific symptom of malodorous discharge, choice D is the most appropriate expectation.
Question 5 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. 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 the newborn, affecting the auditory nerve and causing sensorineural hearing loss. This is because the virus can damage the inner ear structures. Urinary tract infection (
A) is not a typical manifestation of congenital CMV. Macrosomia (
C) refers to excessive birth weight, which is not associated with CMV. Cataracts (
D) are not a common finding in newborns with congenital CMV.