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 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 partially or completely covers the cervix, leading to painless vaginal bleeding. This occurs due to separation of the placenta from the uterine wall. A firm rigid abdomen (
A) is more indicative of abruptio placentae. Uterine hypertonicity (
C) is seen in conditions like uterine rupture, not placenta previa. Persistent headache (
D) is not typically associated with placenta previa.
Question 2 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: newborn who has nasal flaring. Nasal flaring is a sign of respiratory distress, which is a priority because it indicates potential respiratory compromise. The nurse should assess this newborn first to ensure adequate oxygenation. Subconjunctival hemorrhage (choice
B) and overlapping suture lines (choice
C) are common findings in newborns and typically do not require immediate attention. Rust-stained urine (choice
D) is not a concerning finding in a newborn and can be addressed later.
Question 3 of 5
A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D. In the second stage of labor, the client delivers the newborn. This stage begins with full dilation of the cervix and ends with the birth of the baby. The expulsion of the placenta (
Choice
A) occurs in the third stage of labor. Gradual dilation of the cervix (
Choice
B) is characteristic of the first stage of labor. Regular contractions (
Choice
C) may occur throughout labor but are not specific to the second stage. So, the correct answer is D because it aligns with the chronological progression of labor stages.
Question 4 of 5
A nurse is assisting with an amniotomy on a client who is in labor. Which of the following situations should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure that the fetal head is engaged. This is crucial before performing an amniotomy to prevent umbilical cord prolapse. If the fetal head is not engaged, there is a risk of cord compression. Placing the client in the left lateral position (choice
A) is not directly related to the amniotomy procedure. Giving the provider clean gloves (choice
C) is important for infection control but not specifically related to ensuring fetal head engagement. Checking the client's temperature (choice
D) is important for monitoring but not a priority before an amniotomy.
Question 5 of 5
A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?
Correct Answer: D
Rationale: The correct answer is D: Performing umbilical cord care. Gloves should be worn when performing any procedure that involves contact with bodily fluids or potentially infectious material, such as blood or bodily secretions. Umbilical cord care may involve cleaning the area, which can have potential exposure to bodily fluids. The other choices (A, B,
C) do not involve direct contact with bodily fluids or infectious material, so gloves are not necessary for those procedures. It is important to maintain infection control practices to prevent the spread of infections in the healthcare setting.