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. A complete uterine rupture is a serious complication where the uterine wall tears completely, leading to massive internal bleeding. This can result in hypotension due to blood loss. Early fetal heart rate decelerations (choice
A) are not indicative of uterine rupture. Painless, dark red vaginal bleeding (choice
C) is more commonly associated with placental abruption. Bounding peripheral pulses (choice
D) are not a typical finding in uterine rupture.
Question 2 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 may have longer nails due to prolonged exposure in utero. This is because the baby had more time for nail growth compared to a term baby. Nails extending over the tips of the fingers is a common finding in post-term newborns. The other choices are incorrect because large deposits of subcutaneous fat (
B) are more common in term or postmature infants, pale, translucent skin (
C) is more characteristic of preterm infants, and a thin covering of fine hair on shoulders and back (
D) is typical of lanugo, which is usually shed before birth or shortly after for post-term infants.
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.” This is correct because breast milk can indeed be stored in a deep freezer for up to 12 months, maintaining its quality and safety. Deep freezing helps preserve the nutrients in breast milk for a longer period compared to standard refrigeration.
Choice A is incorrect because thawed breast milk should be used within 24 hours if stored in the refrigerator, not 72 hours.
Choice C is incorrect because 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; it should be used within 24 hours.
Question 4 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: An Rh-negative mother who has an Rh-positive infant. This mother is at risk for developing Rh isoimmunization, a condition where her immune system attacks the Rh-positive red blood cells of her infant, potentially causing harm in future pregnancies. Rh(
D) Immune globulin is given to prevent this by blocking the mother's immune response to the Rh-positive cells of the infant. The other choices do not require Rh(
D) Immune globulin because they do not involve the risk of Rh isoimmunization.
Choice B involves an Rh-positive mother who is not at risk of isoimmunization.
Choice C involves an Rh-positive mother with an Rh-positive infant, so there is no incompatibility.
Choice D involves an Rh-negative mother with an Rh-negative infant, so there is no risk of isoimmunization.
Question 5 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor blood glucose level every hr. Neonatal abstinence syndrome can lead to hypoglycemia in infants. Monitoring blood glucose levels every hour allows for early detection and intervention. Providing a stimulating environment (
A) can worsen symptoms. Initiating seizure precautions (
C) is not necessary unless seizures are present. Placing the infant on his back with legs extended (
D) does not address the specific issue of neonatal abstinence syndrome.