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 at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccinations? Select all that apply.
Correct Answer: C,D
Rationale: The correct answers are C (Diphtheria - acellular pertussis) and D (Inactivated influenza) for a client at 30 weeks of gestation. These vaccinations are safe and recommended during pregnancy to protect both the mother and baby. Diphtheria and pertussis protection is important to prevent transmission to the newborn. Influenza vaccine reduces the risk of severe complications for the mother and baby. Varicella (
A) and Human papillomavirus (
B) vaccines are contraindicated during pregnancy due to potential risks to the fetus.
Question 2 of 5
A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: your contractions will become more intense when walking. False labor, also known as Braxton Hicks contractions, typically do not indicate true labor. Walking can often lessen the intensity of false contractions, distinguishing them from true labor.
Choice B is incorrect because dilation and effacement of the cervix are indicative of true labor.
Choice C, bloody show, is also a sign of true labor.
Choice D is incorrect as false labor contractions are irregular, not temporally regular.
Question 3 of 5
A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: WBC count 32,000/mm3. A WBC count of 32,000/mm3 in a 24-hour-old newborn is significantly elevated, indicating a possible infection that requires prompt medical attention. High WBC count is a concerning finding in newborns as it may indicate sepsis or other serious conditions.
Choice A: Hgb 20 g/dL is within the normal range for newborns.
Choice B: Bilirubin 2mg/dL is within the normal range for newborns.
Choice C: Platelets 200,000/mm3 is within the normal range for newborns.
In summary, the elevated WBC count is the most critical finding that requires immediate reporting to the healthcare provider. The other choices are within normal ranges for a 24-hour-old newborn and do not indicate immediate concern.
Question 4 of 5
A nurse is reviewing the laboratory results for a newborn 12 hours old. Which of the following is an expected findings.
Correct Answer: A
Rationale: The correct answer is A: Glucose 40mg/dl. In a newborn, low blood glucose levels are expected within the first 24 hours due to the transition from placental glucose supply to independent glucose regulation. A glucose level of 40mg/dl at 12 hours is normal. WBC of 6000, Hemoglobin of 12, and Platelets of 80000 are within normal ranges but are not specific to a 12-hour-old newborn. It is crucial to monitor the glucose levels in newborns to prevent hypoglycemia, which can lead to neurological complications.
Question 5 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:
Correct Answer: D. The client should have her provider refit her for a new diaphragm. After giving birth, the size and shape of the cervix may change, affecting the fit of the diaphragm. This can impact its effectiveness in preventing pregnancy. It is essential for the client to have her diaphragm refitted to ensure proper contraception.
A: Incorrect. Oil-based vaginal lubricants can damage the diaphragm material.
B: Incorrect. Storing the diaphragm in sterile water is not necessary; it should be cleaned and stored in a cool, dry place.
C: Incorrect. Keeping the diaphragm in place for an extended period can increase the risk of infection.
E, F, G: No additional options provided.