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 is 36 weeks gestation and has MRSA. Which of the following isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact isolation. This is because MRSA is primarily spread through direct physical contact with the infected individual or contaminated surfaces. By implementing contact precautions, the nurse can prevent the spread of MRSA to other patients and healthcare workers. Droplet precautions (choice
A) are used for diseases spread through large respiratory droplets, such as influenza. Airborne precautions (choice
C) are for diseases transmitted through small respiratory droplets that remain suspended in the air, like tuberculosis. Protective environment (choice
D) is used for immunocompromised patients to protect them from environmental pathogens.
Therefore, the most appropriate precaution for a client with MRSA at 36 weeks gestation is contact isolation.
Question 2 of 5
A nurse is assessing a client who is 27 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Platelet count 60,000/mm³. In pre-eclampsia, there is a risk of developing HELLP syndrome, which includes hemolysis, elevated liver enzymes, and low platelet count. A platelet count of 60,000/mm³ indicates thrombocytopenia, a serious complication that can lead to bleeding and should be reported to the provider urgently.
Choices A, C, and D are within normal limits for a pregnant client and are not indicative of an immediate concern in pre-eclampsia.
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Correct Answer: D
Rationale: The correct answer is D: You should have your provider refit you for a new diaphragm. After childbirth, the size and shape of the cervix and vaginal canal may change, affecting the fit of the diaphragm. It is essential to have a healthcare provider assess and refit the diaphragm to ensure proper contraception.
Incorrect answers:
A: Using oil-based vaginal lubricant can degrade latex diaphragms, leading to breakage.
B: Storing the diaphragm in sterile water can damage the latex material and increase the risk of infection.
C: Keeping the diaphragm in place for a specific time after intercourse is not necessary and can increase the risk of toxic shock syndrome.
E: Not applicable.
F: Not applicable.
G: Not applicable.
Question 4 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks, it is important to screen for gestational diabetes. This test helps assess the body's ability to metabolize glucose. The other choices are not typically done at the 24-week appointment. B: Rubella titer is usually done earlier in pregnancy to check immunity. C: Group B strep culture is usually done around 35-37 weeks. D: Blood type and Rh are usually checked at the first prenatal visit.
Question 5 of 5
A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: The correct answer is B: Increased urination. Hyperglycemia in gestational diabetes mellitus leads to elevated blood glucose levels, causing the kidneys to filter excess glucose into the urine, leading to increased urination (polyuria). This is due to the osmotic effect of glucose drawing water from the body into the urine. Double vision (choice
A) is more indicative of neurological issues. Sweating (choice
C) can be a response to hypoglycemia rather than hyperglycemia. Dizziness (choice
D) can be a symptom of both hyperglycemia and hypoglycemia, but it is not specific to hyperglycemia.