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 due to disruption of placental attachment.
Choice A is incorrect as a firm rigid abdomen is not a typical finding in placenta previa.
Choice C, uterine hypertonicity, is more indicative of conditions like abruptio placentae.
Choice D, persistent headache, is not directly associated with placenta previa. Thus, the nurse should expect painless vaginal bleeding in a client with placenta previa.
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Correct Answer: B
Rationale: The correct answer is B: Allow the baby to feed at least every 3 hours. This is important for establishing a good breastfeeding routine and ensuring the baby receives enough nutrition. Feeding every 3 hours helps maintain the baby's hydration and promotes milk production.
Choice A is incorrect because newborns typically need more frequent feedings, about 8-12 times a day.
Choice C is incorrect as newborns should only be offered breast milk or formula, not water.
Choice D is incorrect because newborns should feed until they are satisfied, not limited to a specific time frame.
Question 3 of 5
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Swaddle the newborn in a flexed position. This is important for newborns with neonatal abstinence syndrome to provide comfort and security, mimicking the womb environment. Swaddling helps reduce excessive movement and agitation, promoting better sleep and soothing the newborn. Option A is incorrect as increased visual stimulation can overwhelm the newborn. Option B is incorrect as daily weighing is recommended to monitor for weight fluctuations. Option C is incorrect as parental interaction is crucial for bonding and emotional development.
Question 4 of 5
A nurse in a provider’s office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Negele’s rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)
Correct Answer: A
Rationale: The correct answer is A: December 15. Negele's rule estimates the due date by adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding a year. In this case, March 8 + 7 days = March 15. Subtracting 3 months gives us December 15, which is the estimated due date. Other choices are incorrect because they do not follow the correct calculation based on Negele's rule.
Choice B (October 30) is incorrect as it does not account for adding a year and subtracting 3 months.
Choice C (January 15) is incorrect as it only adds 7 days and subtracts 3 months without adding a year.
Choice D (Nov 30) is incorrect as it only adds 7 days to the last menstrual period date without accounting for subtracting 3 months and adding a year.
Question 5 of 5
A nurse is planning care for a client who is pregnant and has HIV.
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin-to-skin contact. This is important to reduce the risk of HIV transmission from the mother to the newborn. Bathing the newborn before skin-to-skin contact helps remove any potential infectious material present on the baby's skin. This practice is recommended by the CDC to reduce the risk of transmission of HIV from the mother to the baby. It is crucial to prevent direct contact with any bodily fluids that may contain the virus. In contrast, choices A, C, and D are incorrect:
A) Using a fetal scalp electrode can increase the risk of exposure to maternal blood during labor.
C) Stopping antiretroviral medication can lead to increased viral load and transmission risk.
D) Administering pneumococcal immunization is not directly related to preventing HIV transmission.