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 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 by continuous IV infusion for preterm labor, it is crucial to monitor the serum medication level to ensure therapeutic effectiveness and prevent toxicity. Magnesium sulfate has a narrow therapeutic range, so monitoring the serum level helps in adjusting the dosage as needed.
Incorrect
Choices:
A: Indirect Coombs test - This test is used to detect antibodies in the blood that could cause destruction of red blood cells. It is not directly related to monitoring magnesium sulfate therapy.
B: Liver enzymes - While liver enzymes are important for assessing liver function, they are not specifically relevant to monitoring magnesium sulfate therapy.
C: Uric acid level - Monitoring uric acid levels is more commonly associated with conditions like gout or kidney disease, not magnesium sulfate therapy in preterm labor.
Question 2 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: The client delivers the newborn. In the second stage of labor, the cervix is fully dilated, and the mother pushes to deliver the baby. This stage ends with the birth of the newborn.
Choice A is incorrect because expelling the placenta occurs in the third stage of labor.
Choice B is incorrect as gradual dilation of the cervix happens in the first stage.
Choice C is incorrect because regular contractions are characteristic of the first stage of labor.
Question 3 of 5
A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply a cap to the newborn head. The newborn's respiratory rate, heart rate, and temperature are within normal range for a 1-hour-old infant. However, the temperature is slightly low. Applying a cap to the newborn's head can help prevent heat loss and maintain a stable body temperature. Giving a warm bath (
A) can cause further heat loss. Repositioning the newborn (
C) is not necessary based on the information provided. Obtaining an oxygen saturation level (
D) is not indicated as the vital signs are within normal limits.
Question 4 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 5 of 5
A nurse is planning care immediately following birth for a newborn who has myelomeningocele that is leaking cerebrospinal fluid.
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection as the exposed neural tissue puts the newborn at risk. Antibiotics help reduce the risk of meningitis. Cleaning the site with povidone-iodine (
B) can be too harsh for the fragile tissue. Monitoring rectal temperature (
C) is not directly related to managing the myelomeningocele. Surgical closure (
D) should be done as soon as possible, not after 72 hours.