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 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, high blood sugar level, in gestational diabetes mellitus can lead to osmotic diuresis, causing increased urination (polyuria). This occurs because the kidneys try to eliminate excess glucose from the blood by excreting it in the urine, resulting in increased urine production. Double vision is associated with hyperglycemia in diabetic ketoacidosis, not specifically gestational diabetes. Sweating and dizziness are more commonly related to hypoglycemia, low blood sugar. Hence, the most specific and indicative clinical finding of hyperglycemia in gestational diabetes is increased urination.
Question 2 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 cause hypoglycemia in infants. Monitoring blood glucose levels every hour is crucial to detect and manage hypoglycemia promptly. Providing a stimulating environment (
A) is not appropriate as infants with neonatal abstinence syndrome require a quiet and calm environment. 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 monitoring blood glucose levels.
Question 3 of 5
A nurse is caring for a client who has received an epidural during labor. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Position a wedge under the client's left hip. Placing a wedge under the left hip helps to optimize the effectiveness of the epidural by promoting even distribution of the medication, ensuring proper pain management during labor. This position also helps to prevent nerve compression and potential complications.
B: Placing the client in the lithotomy position is not recommended as it can increase the risk of nerve compression and hinder the effectiveness of the epidural.
C: Assisting the client to a knee-chest position is not appropriate for a client with an epidural, as it can cause discomfort and compromise the effectiveness of the medication.
D: Elevating the head of the client's bed to 90% is unrelated to the management of an epidural and does not contribute to optimal pain relief.
Question 4 of 5
A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching.
Correct Answer: C
Rationale: The correct answer is C because checking urine for protein daily is crucial in monitoring preeclampsia. Proteinuria is a key indicator of worsening preeclampsia, and early detection is essential. Option A is incorrect as fetal movement should be monitored daily. Option B is incorrect because alternating arms for blood pressure checks is unnecessary. Option D is incorrect as the recommended protein intake is individualized and typically higher than 50g/day during pregnancy.
Question 5 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks of pregnancy, it is important to screen for gestational diabetes. The 1-hour glucose tolerance test helps in detecting elevated blood sugar levels. It is a routine test to assess the risk of gestational diabetes.
Choice B: Rubella titer is typically done early in pregnancy to check immunity to rubella and is not necessary at 24 weeks.
Choice C: Group B strep culture is usually done around 35-37 weeks gestation to determine if the mother carries group B strep bacteria, not at 24 weeks.
Choice D: Blood type and Rh testing are important in early pregnancy to determine if the mother is Rh-positive or negative and to assess compatibility with the baby's blood type. This test is not specific to 24 weeks.
Therefore, the 1-hour glucose tolerance test is the most relevant test to conduct at the 24-week prenatal appointment.