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 caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: “You can bathe and dress your baby if you’d like to.” This statement empowers the client to make decisions about what they want to do with their baby, respecting their autonomy and providing support in their grieving process. It acknowledges the client's need for control and involvement in the situation.
Choice B is incorrect because it assumes holding the baby is necessary for the grieving process, which may not be the case for every individual.
Choice C is incorrect as naming the baby may not be the right choice for everyone and should be left to the parents to decide.
Choice D is incorrect as it minimizes the client's current loss and may be seen as insensitive. It is important to focus on the client's current feelings and needs rather than future possibilities.
Question 2 of 5
A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization?
Correct Answer: A
Rationale: The correct answer is A. When an Rh-negative mother has an Rh-positive infant, there is a risk of sensitization if fetal blood mixes with maternal blood during delivery. Rh(
D) Immune globulin is given to prevent this sensitization by destroying any fetal Rh-positive red blood cells that may have entered the maternal circulation. This prevents the mother from forming antibodies against Rh-positive blood in subsequent pregnancies.
Choices B, C, and D are incorrect because they do not present a risk of sensitization. In choice B, an Rh-positive mother with an Rh-negative infant does not require Rh(
D) Immune globulin. In choice C, an Rh-positive mother with an Rh-positive infant does not require Rh(
D) Immune globulin. In choice D, an Rh-negative mother with an Rh-negative infant does not require Rh(
D) Immune globulin as there is no risk of sensitization in this scenario.
Question 3 of 5
A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B. Breast milk can be stored in a deep freezer for 12 months because freezing at a lower temperature helps maintain the quality and nutrients in breast milk for a longer period. Storing breast milk in a deep freezer ensures it remains safe for consumption when the mother returns to work.
Choice A is incorrect because thawed breast milk can only be refrigerated for up to 24 hours, not 72 hours.
Choice C is incorrect as breast milk can only be stored at room temperature for up to 4 hours.
Choice D is incorrect because thawed breast milk should not be refrozen as it can lead to a loss of nutrients and potential contamination.
Question 4 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: “You can bathe and dress your baby if you’d like to.” This statement empowers the client to make decisions about what they want to do with their baby, respecting their autonomy and providing support in their grieving process. It acknowledges the client's need for control and involvement in the situation.
Choice B is incorrect because it assumes holding the baby is necessary for the grieving process, which may not be the case for every individual.
Choice C is incorrect as naming the baby may not be the right choice for everyone and should be left to the parents to decide.
Choice D is incorrect as it minimizes the client's current loss and may be seen as insensitive. It is important to focus on the client's current feelings and needs rather than future possibilities.
Question 5 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.