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 maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer a bolus of lactated Ringer. Maternal hypotension post-epidural is commonly due to vasodilation causing a decrease in blood pressure. Fluid bolus helps increase intravascular volume, thus improving blood pressure. Terbutaline is a tocolytic used to stop premature labor, not indicated for hypotension. Positioning in knee-chest is not recommended as it can worsen hypotension by reducing venous return. Applying oxygen via nonrebreather may be beneficial, but fluid resuscitation is the priority in this scenario.
Question 2 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Step 1: Client understanding of the medication schedule is crucial for effective contraception.
Step 2:
Choice B indicates the client knows the correct timeframe for the next injection.
Step 3: Returning in 8 weeks ensures continuous contraceptive effect.
Step 4: Other choices lack relevance to medroxyprogesterone IM for contraception.
Summary: Option B is correct as it demonstrates understanding of the medication schedule, while other choices are unrelated to the medication's use for contraception.
Question 3 of 5
A nurse is reviewing the laboratory results for a newborn 12 hours old. Which of the following is an expected findings.
Correct Answer: A
Rationale: The correct answer is A: Glucose 40mg/dl. In a newborn, low blood glucose levels are expected within the first 24 hours due to the transition from placental glucose supply to independent glucose regulation. A glucose level of 40mg/dl at 12 hours is normal. WBC of 6000, Hemoglobin of 12, and Platelets of 80000 are within normal ranges but are not specific to a 12-hour-old newborn. It is crucial to monitor the glucose levels in newborns to prevent hypoglycemia, which can lead to neurological complications.
Question 4 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: Contractions last 60 seconds. Prolonged contractions can lead to uterine tachysystole, which can reduce placental perfusion and oxygenation to the fetus. This can result in fetal distress and compromise. Non-repetitive early decelerations (
B) are common and not a reason to discontinue oxytocin. 6 contractions in 10 minutes (
C) is within the normal range. Moderate variability of the fetal heart rate (
D) is a sign of good oxygenation and fetal well-being, indicating that oxytocin can continue.
Question 5 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.