ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 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 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 2 of 5
A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: A client who is at 32 weeks of gestation and reports seeing floating spots. This client should be assessed first because floating spots in vision could be a sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage. Preeclampsia can lead to severe complications for both the mother and the baby if not promptly addressed. Assessing this client first allows for timely intervention and management of potential preeclampsia.
Other choices are incorrect because:
A: Urinary frequency at 7 weeks of gestation is common and not an urgent issue.
C: Leg cramps at 38 weeks of gestation are often due to normal physiological changes in pregnancy and are not typically a priority.
D: Periodic numbness in fingers at 20 weeks of gestation may be related to carpal tunnel syndrome, a common issue in pregnancy, but it is not as urgent as possible signs of preeclampsia.
Question 3 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin to skin contact. This is important to minimize the risk of HIV transmission from the mother to the newborn. Bathing the newborn helps to remove any potential blood or body fluids that may contain the virus. Initiating skin to skin contact without bathing the newborn first could increase the risk of transmission.
Choice A is incorrect because using a fetal scalp electrode during labor and delivery is unrelated to preventing HIV transmission.
Choice C is incorrect because instructing the client to stop taking antiretroviral medication at 32 weeks of gestation could harm both the mother and the baby by increasing the risk of HIV transmission.
Choice D is incorrect because administering pneumococcal immunization to the newborn within 4 hours following birth is not directly related to preventing HIV transmission.
In summary, bathing the newborn before initiating skin to skin contact is the most appropriate action to prevent HIV transmission in this scenario.
Question 4 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
Correct Answer: D
Rationale: The correct answer is D because yellow exudate is a normal part of the healing process after a plastibell circumcision. This indicates the body's natural response to the procedure. A: The plastibell is not removed after 4 hours, but it falls off on its own in about 5-8 days. B: Dark red appearance at the end of the penis could be a sign of complications and should be reported immediately. C: The diaper should not be snug to avoid irritation to the surgical site.
Question 5 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.