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 experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure the newborn’s mouth is wide open before latching to the breast. This is important because a proper latch is crucial in preventing sore nipples during breastfeeding. When the newborn's mouth is wide open, it ensures that the nipple is deeply in the baby's mouth, allowing for a more effective and comfortable feeding. This helps prevent nipple trauma and decreases the likelihood of soreness.
Choice A is incorrect because placing a snug dressing on the nipple can further irritate the area and hinder proper healing.
Choice C is incorrect as limiting the feeding time can lead to inadequate milk intake for the baby.
Choice D is incorrect as starting with the most tender nipple can worsen the soreness.
Question 2 of 5
A nurse is caring for a client who has a complete uterine rupture. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In a complete uterine rupture, there is a significant loss of blood leading to hypovolemic shock, which manifests as hypotension. This is due to the rupture of blood vessels in the uterus causing rapid blood loss. Early fetal heart rate decelerations (
A) are not typically associated with uterine rupture but rather with fetal distress. Painless, dark red vaginal bleeding (
C) is more indicative of placental abruption. Bounding peripheral pulses (
D) are not a common finding in uterine rupture as hypovolemia leads to decreased peripheral perfusion.
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has myelomeningocele that is leaking cerebrospinal fluid.
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection as the exposed neural tissue puts the newborn at risk. Antibiotics help reduce the risk of meningitis. Cleaning the site with povidone-iodine (
B) can be too harsh for the fragile tissue. Monitoring rectal temperature (
C) is not directly related to managing the myelomeningocele. Surgical closure (
D) should be done as soon as possible, not after 72 hours.
Question 4 of 5
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
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.
Question 5 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.
Correct Answer: C
Rationale: The correct answer is C: Midline episiotomy. A midline episiotomy is a surgical incision made during childbirth that increases the risk of infection due to the proximity to the anus and rectum. The incision site is more prone to contamination from fecal matter, leading to a higher risk of infection. Placenta previa (
B) is a condition where the placenta partially or fully covers the cervix, which can lead to bleeding but not necessarily infection. Meconium-stained amniotic fluid (
A) can indicate fetal distress but does not directly increase the risk of infection. Prolonged labor (
D) can increase the risk of infection due to prolonged exposure to bacteria, but it is not as direct a risk factor as a midline episiotomy.