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 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 can help alleviate nausea and vomiting during pregnancy, also known as morning sickness. Cold foods have less strong odors, which can help reduce nausea triggers. Additionally, cooler temperatures can help soothe the stomach and make food more palatable for someone experiencing morning sickness.
Avoiding eating snacks before bedtime (choice
A) may help reduce nausea for some individuals, but it is not as effective as consuming cool foods. Eating high-fat snacks before getting out of bed (choice
B) may exacerbate nausea due to the heaviness of high-fat foods. Drinking additional liquids with each meal (choice
C) may worsen nausea by filling the stomach further.
Question 2 of 5
A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is essential to prevent infection in the newborn with Myelomeningocele, as the exposed cerebrospinal fluid increases the risk of infection. Antibiotics are crucial to prevent meningitis, a serious complication. Cleansing the site with Povidone iodine (
B) may be necessary, but it does not address the systemic infection risk. Monitoring rectal temperature (
C) is important, but not the priority over preventing infection. Surgical closure (
D) may be necessary, but antibiotics are the immediate priority.
Question 3 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription or 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. This blood pressure reading indicates hypotension, which could be a potential side effect of terbutaline. Hypotension can worsen maternal and fetal perfusion, leading to adverse outcomes. The nurse should withhold the medication and report this finding to the provider immediately.
Choices A, C, and D are within normal limits and do not require withholding the medication. A fasting blood glucose of 75 mg/dL is normal, urinary output of 40 ml/hr is adequate, and a fetal heart rate of 120/min is also within the normal range for a preterm fetus.
Question 4 of 5
A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last menstrual.. Use Niagele9s rule to calculate the estimated date of delivery. Use the mmdd format with four numerals and no spaces or punctuation.
Correct Answer: A
Rationale: The correct answer is A: 05/11. Naegele's rule states to add 7 days to the first day of the last menstrual period, then subtract 3 months, and add 1 year. In this case, March 20 + 7 days = March 27. Subtracting 3 months gives us December 27, and adding 1 year gives December 27 of the following year. Since December 27 is 5 months and 11 days away from March 27, the estimated due date is May 11.
Choice B is incorrect as it does not follow Naegele's rule.
Choice C is incorrect as it is one day off from the correct calculation.
Choice D is incorrect as it does not account for the correct number of days and months.
Question 5 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.