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 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Consume food served at cool temperatures. This recommendation is appropriate for alleviating nausea and vomiting during early pregnancy because warm or hot foods can trigger these symptoms. Cold foods are often better tolerated and can help reduce nausea.
Choice A is incorrect as avoiding snacks before bedtime may not necessarily help with nausea.
Choice B of eating high-fat snacks before getting out of bed may worsen symptoms.
Choice C of drinking additional liquids with each meal may not address the underlying cause of nausea.
Question 2 of 5
A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Platelets 100,000/mm³. This finding indicates thrombocytopenia, which can lead to bleeding disorders in newborns. Reporting this to the provider is crucial for further evaluation and management.
Incorrect options:
A: Blood glucose 58 mg/dL - This value is within the normal range for newborns.
B: Hematocrit 48% - This value is also within the normal range for newborns.
D: Hemoglobin 16 g/dL - This value is within the normal range for newborns.
Question 3 of 5
A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Cover the umbilical cord with sterile saline saturated towel. This action is essential to prevent compression and protect the exposed cord from infection. By covering the umbilical cord with a sterile saline-saturated towel, the nurse can maintain the cord's moisture and integrity, reducing the risk of cord compression and infection. This step is crucial in managing a prolapsed umbilical cord until emergency interventions can be performed.
Summary:
A: Initiating IV fluids is not the priority in this situation as the immediate concern is to protect the umbilical cord.
B: Performing a vaginal examination by applying upward pressure can further compress the cord and worsen the fetal distress.
C: Administering oxygen is important but is not the immediate priority compared to protecting the umbilical cord.
E, F, G: Not applicable.
Question 4 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Painless vaginal bleeding. In placenta previa, the placenta partially or completely covers the cervix, leading to painless vaginal bleeding due to disruption of placental attachment.
Choice A is incorrect as a firm rigid abdomen is not a typical finding in placenta previa.
Choice C, uterine hypertonicity, is more indicative of conditions like abruptio placentae.
Choice D, persistent headache, is not directly associated with placenta previa. Thus, the nurse should expect painless vaginal bleeding in a client with placenta previa.
Question 5 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure 88/58 mmHg. Terbutaline is a tocolytic medication used to stop preterm labor by relaxing the uterine muscles. Hypotension is a potential side effect of terbutaline due to its beta-adrenergic agonist properties. A blood pressure of 88/58 mmHg indicates hypotension, which can be exacerbated by terbutaline. The nurse should withhold the medication and promptly report this finding to the provider to prevent further complications such as decreased perfusion to vital organs.
Incorrect choices:
A: Fasting blood glucose 75 mg/dL - Normal blood glucose level, not contraindicated for terbutaline administration.
C: Urinary output 40 mL/hr - Normal urinary output, not contraindicated for terbutaline administration.
D: FHR 120/min - Normal fetal heart rate, not contraindicated for terbutaline