ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: The correct answer is B: Increased urination. Hyperglycemia in gestational diabetes mellitus leads to elevated blood glucose levels, causing the kidneys to filter excess glucose into urine, leading to increased urination (polyuria). This is a classic symptom of hyperglycemia.
Double vision (
A) can be a sign of hypoglycemia, not hyperglycemia. Sweating (
C) and dizziness (
D) can be nonspecific symptoms and not specific to hyperglycemia.
Question 2 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.
Question 3 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States < No, the baby is too tired to be held=. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This is the best choice because it empowers the mother by providing education on proper newborn handling while respecting her decision not to pick up the baby at that moment. By demonstrating and allowing the client to practice, the nurse promotes learning and confidence-building for the mother.
Choice A is incorrect because insisting on the mother picking up the newborn can be seen as disrespectful and may not address the underlying issue of the mother's concern for the baby's tiredness.
Choice C is incorrect as it does not address the immediate situation of the newborn's need for feeding and the mother's preference not to hold the baby.
Choice D is not appropriate as the mother may want to be involved in feeding her baby.
Question 4 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Correct Answer: D - You should have your provider refit you for a new diaphragm.
Rationale: After childbirth, the size and shape of the cervix can change. It is essential to have the diaphragm refitted to ensure proper fit and effectiveness. Using an ill-fitting diaphragm can lead to contraceptive failure. Other Options: A - Oil-based lubricants can damage latex diaphragms. B - Storing in sterile water can cause damage and is not recommended. C - Keeping the diaphragm in place for 4 hours is unnecessary; it should be left in for at least 6 hours post-intercourse.
Question 5 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 implants low in the uterus, covering the cervix, leading to painless bleeding in the third trimester. A: Firm rigid abdomen is associated with abruptio placentae. C: Uterine hypertonicity is seen in conditions like uterine rupture. D: Persistent headache is not a typical finding in placenta previa.