ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 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 for tocolytic therapy, monitoring the serum medication level is crucial to ensure the drug is within the therapeutic range (4-7.5 mg/dL). This is important to prevent toxicity which can lead to respiratory depression, hypotension, and cardiac arrest. Checking liver enzymes (choice
B) is not directly related to magnesium sulfate therapy. Uric acid level (choice
C) is not typically monitored during tocolytic therapy. Indirect Coombs test (choice
A) is used to detect antibodies on the surface of red blood cells, not relevant in this scenario.
Question 2 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. CMV infection during pregnancy can lead to congenital CMV in newborns, causing hearing loss. CMV can affect the inner ear, leading to sensorineural hearing loss. This is a common complication of congenital CMV infection. The other options are not typically associated with congenital CMV infection. Urinary tract infection (
A) is not a common manifestation. Macrosomia (
C) refers to a large birth weight, which is not typically associated with CMV infection. Cataracts (
D) are not a common finding in newborns with congenital CMV infection.
Question 3 of 5
A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps)
Correct Answer: A,B,C,D
Rationale:
Step 1 (
A): Asking the client to lie on her back with knees flexed allows for proper access to the fundus and facilitates the massage.
Step 2 (
B): Positioning one hand around the top of the client's uterus and the other just above the symphysis pubis helps in locating and stabilizing the fundus.
Step 3 (
C): Rotating the upper hand to massage the uterus while applying slight downward pressure helps in stimulating contractions and reducing uterine atony.
Step 4 (
D): Observing the client's perineum for clots and bleeding is important to assess postpartum hemorrhage.
Summary:
Choice E, F, and G are incorrect as they do not provide essential steps for performing a fundal massage. E: There is no action step here. F and G: These steps are not necessary before the primary steps of fundal massage.
Question 4 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure the newborn's eyes are closed beneath the shield. During phototherapy, the newborn's eyes must be protected from the light to prevent damage. Placing a shield over the eyes helps to minimize exposure.
Choice A is incorrect because lotions can interfere with the effectiveness of phototherapy.
Choice B is incorrect as clothing can also block the light needed for therapy.
Choice D is incorrect as giving glucose water is not necessary for phototherapy and may not be appropriate for a newborn.
Question 5 of 5
A nurse is using Niagele9s rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/28
Correct Answer: C
Rationale: The correct answer is C: May 5th.
To calculate the expected delivery date using Naegele's rule, start with the first day of the last menstrual period (July 28th), subtract 3 months, and add 7 days.
Therefore, July 28th - 3 months = April 28th + 7 days = May 5th. This is the estimated due date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation.
Choice B (April 4th) is too early based on the calculation.
Choice D (May 21st) is too late according to Naegele's rule.