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 in the second stage of labor. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: The client delivers the newborn. In the second stage of labor, the cervix is fully dilated, and the mother pushes to deliver the baby. This stage ends with the birth of the newborn.
Choice A is incorrect because expelling the placenta occurs in the third stage of labor.
Choice B is incorrect as gradual dilation of the cervix happens in the first stage.
Choice C is incorrect because regular contractions are characteristic of the first stage of labor.
Question 2 of 5
A nurse is planning care for a client who is pregnant and has HIV.
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin-to-skin contact. This is important to reduce the risk of HIV transmission from the mother to the newborn. Bathing the newborn before skin-to-skin contact helps remove any potential infectious material present on the baby's skin. This practice is recommended by the CDC to reduce the risk of transmission of HIV from the mother to the baby. It is crucial to prevent direct contact with any bodily fluids that may contain the virus. In contrast, choices A, C, and D are incorrect:
A) Using a fetal scalp electrode can increase the risk of exposure to maternal blood during labor.
C) Stopping antiretroviral medication can lead to increased viral load and transmission risk.
D) Administering pneumococcal immunization is not directly related to preventing HIV transmission.
Question 3 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 4 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A because nasal flaring indicates respiratory distress, which is a critical condition requiring immediate assessment and intervention to ensure adequate oxygenation. Nasal flaring is a sign of increased work of breathing and potential airway obstruction. Subconjunctival hemorrhage (
B) is a common and benign finding in newborns, not requiring urgent attention. Overlapping suture lines (
C) are typically seen in newborns and may resolve on their own without intervention. Rust-stained urine (
D) may indicate the presence of uric acid crystals, which is common in newborns and not typically a cause for immediate concern.
Therefore, assessing the newborn with nasal flaring first is crucial to ensure their respiratory status is stable.
Question 5 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer a bolus of lactated Ringer. Maternal hypotension post-epidural is commonly due to vasodilation causing a decrease in blood pressure. Fluid bolus helps increase intravascular volume, thus improving blood pressure. Terbutaline is a tocolytic used to stop premature labor, not indicated for hypotension. Positioning in knee-chest is not recommended as it can worsen hypotension by reducing venous return. Applying oxygen via nonrebreather may be beneficial, but fluid resuscitation is the priority in this scenario.