ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Contact precautions. MRSA is typically spread through direct contact with an infected person or contaminated surfaces. By implementing contact precautions, the nurse can prevent the transmission of MRSA to other patients or healthcare workers. Droplet precautions are used for infections spread through respiratory droplets, such as influenza. Airborne precautions are used for diseases like tuberculosis that are transmitted through small droplets that remain in the air. Protective environment is used for immunocompromised patients to protect them from outside infections.
Therefore, in this case, contact precautions are the most appropriate choice to prevent the spread of MRSA.

Correct Answer: A

Rationale: The correct answer is A because amnionitis, leakage of amniotic fluid, and preterm labor are potential complications following an amniocentesis. Amnionitis is an infection of the amniotic fluid, leakage of amniotic fluid can lead to premature rupture of membranes, and preterm labor can be triggered by the procedure. Hypertension , hyperglycemia , and maternal hypotension are not typically associated with amniocentesis.
Therefore, choices B, C, and D are incorrect as they do not align with the expected complications of this procedure.

Correct Answer: C

Rationale: Rationale for Correct Answer C (Ensure the newborn eyes are closed beneath the shield):
- Phototherapy exposes the newborn's skin to light to treat jaundice.
- It's crucial to protect the newborn's eyes from the bright light to prevent damage.
- Closing the eyes beneath the shield helps shield the sensitive eyes from potential harm.
Summary of Incorrect

Choices:
- A: Applying lotion may increase the risk of skin irritation during phototherapy.
- B: Giving glucose water is unrelated to phototherapy and may not be indicated.
- D: Dressing the newborn may hinder the effectiveness of phototherapy as more skin should be exposed to light.

Correct Answer: B

Rationale: The correct answer is B: A client who has gestational diabetes mellitus. Misoprostol is commonly used for labor induction in cases of gestational diabetes mellitus to prevent complications associated with prolonged pregnancy. It helps in ripening the cervix and initiating contractions. Clients with active genital herpes are not candidates for misoprostol due to the risk of exacerbating the infection. Clients with a previous uterine incision are at risk for uterine rupture with misoprostol. Clients with placenta previa should not undergo labor induction with misoprostol due to the risk of increasing bleeding.

Correct Answer: A

Rationale: The correct answer is A: “You can bathe and dress your baby if you’d like to.” This statement empowers the client to make decisions about what they want to do with their baby, respecting their autonomy and providing support in their grieving process. It acknowledges the client's need for control and involvement in the situation.


Choice B is incorrect because it assumes holding the baby is necessary for the grieving process, which may not be the case for every individual.
Choice C is incorrect as naming the baby may not be the right choice for everyone and should be left to the parents to decide.
Choice D is incorrect as it minimizes the client's current loss and may be seen as insensitive. It is important to focus on the client's current feelings and needs rather than future possibilities.