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 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 precautions. MRSA is primarily transmitted through direct contact with the infected individual or contaminated surfaces. The nurse should wear gloves and gowns when caring for the client to prevent the spread of the infection. Droplet precautions (choice
A) are for diseases spread through respiratory droplets, airborne precautions (choice
C) are for diseases spread through airborne particles, and protective environment (choice
D) is for immunocompromised clients.
Question 2 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client which of the following vaccinations? Select all the apply
Correct Answer: C,D
Rationale: The correct vaccinations for a client at 30 weeks of gestation are Diphtheria-acellular pertussis (
C) and inactivated influenza (
D). Both are recommended during pregnancy to protect the mother and baby. Diphtheria-pertussis protects against respiratory infections, important for pregnant women due to increased susceptibility. Inactivated influenza is crucial to prevent severe flu complications. Varicella (
A) and human papillomavirus (
B) vaccines are contraindicated during pregnancy. The measles, mumps, and rubella (E) vaccine is a live attenuated vaccine, not recommended during pregnancy due to the theoretical risk of fetal harm.
Question 3 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 crucial to screen for gestational diabetes. This test helps identify if the client's body is processing sugar properly during pregnancy. Rubella titer and Group B strep culture are important tests but not typically done at 24 weeks. Blood type and Rh testing is usually done earlier in pregnancy, around 8-12 weeks. The 1-hour glucose tolerance test is the most relevant test for this stage of prenatal care to monitor the client's glucose levels and ensure the well-being of both the mother and baby.
Question 4 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: You should give your toddler a gift from the baby when she visits. This choice promotes positive associations between the toddler and the new sibling, fostering a sense of inclusion and bonding. A gift can help the toddler feel special and valued during the transition.
Choices A, C, and D are incorrect as they do not address the emotional and psychological needs of the toddler in preparing for a new sibling. Holding the newborn in front of the toddler may overwhelm or intimidate the toddler. Moving the toddler out of the crib early may disrupt routine and cause anxiety. Placing the toddler in timeout for regressive behavior can create negative associations with the new sibling.
Question 5 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
Correct Answer: D
Rationale: The correct answer is D because yellow exudate is a normal part of the healing process after a plastibell circumcision. This indicates the body's natural response to the procedure. A: The plastibell is not removed after 4 hours, but it falls off on its own in about 5-8 days. B: Dark red appearance at the end of the penis could be a sign of complications and should be reported immediately. C: The diaper should not be snug to avoid irritation to the surgical site.