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 who has a complete uterine rupture. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In a complete uterine rupture, there is a significant loss of blood leading to hypovolemic shock, which manifests as hypotension. This is due to the rupture of blood vessels in the uterus causing rapid blood loss. Early fetal heart rate decelerations (
A) are not typically associated with uterine rupture but rather with fetal distress. Painless, dark red vaginal bleeding (
C) is more indicative of placental abruption. Bounding peripheral pulses (
D) are not a common finding in uterine rupture as hypovolemia leads to decreased peripheral perfusion.
Question 2 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccinations? Select all that apply.
Correct Answer: C,D
Rationale: The correct answers are C (Diphtheria - acellular pertussis) and D (Inactivated influenza) for a client at 30 weeks of gestation. These vaccinations are safe and recommended during pregnancy to protect both the mother and baby. Diphtheria and pertussis protection is important to prevent transmission to the newborn. Influenza vaccine reduces the risk of severe complications for the mother and baby. Varicella (
A) and Human papillomavirus (
B) vaccines are contraindicated during pregnancy due to potential risks to the fetus.
Question 3 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 4 of 5
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because positioning the baby's car seat at a 45-degree angle in the car helps prevent the baby's head from flopping forward and potentially obstructing the airway, ensuring optimal safety.
Choice B is incorrect because it doesn't specify the recommended weight limit for rear-facing seats, which is typically until the baby reaches 20-35 pounds.
Choice C is incorrect as the harness should be positioned at or below the baby's shoulders, not above.
Choice D is incorrect because the retainer clip should be positioned at armpit level, not at the top of the baby's abdomen.
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.