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 receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: Contractions last 60 seconds. Prolonged contractions can lead to uterine tachysystole, which can reduce placental perfusion and oxygenation to the fetus. This can result in fetal distress and compromise. Non-repetitive early decelerations (
B) are common and not a reason to discontinue oxytocin. 6 contractions in 10 minutes (
C) is within the normal range. Moderate variability of the fetal heart rate (
D) is a sign of good oxygenation and fetal well-being, indicating that oxytocin can continue.
Question 2 of 5
A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?
Correct Answer: D
Rationale:
Rationale: Donning gloves for performing umbilical cord care is crucial to prevent infection transmission. The umbilical cord stump is a potential entry point for pathogens, so gloves provide a barrier. Assisting with breastfeeding (
A) does not require gloves unless there are open wounds on the mother's breast. Performing a newborn's bath (
B) does not involve contact with bodily fluids that necessitate glove use. Administering a vaccine (
C) requires clean technique, not necessarily gloves. Summary:
Choices A, B, and C do not involve direct exposure to bodily fluids or potential infection sources, so gloves are not necessary.
Choice D involves direct contact with a potential infection source, making gloves essential.
Question 3 of 5
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous Discharge. Trichomoniasis, a sexually transmitted infection, commonly presents with a foul-smelling vaginal discharge. At 20 weeks of gestation, the client may experience an increase in vaginal discharge due to hormonal changes, but the characteristic of trichomoniasis discharge is malodorous. Thick, white discharge is more indicative of a yeast infection. Urinary frequency is not a typical symptom of trichomoniasis. Vulva lesions are not a common presentation of this infection.
Therefore, based on the client's gestational age and the specific symptom of malodorous discharge, choice D is the most appropriate expectation.
Question 4 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 5 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her five-day-old male newborn at home.
Correct Answer: D
Rationale: The correct answer is D: Notify your baby's pediatrician if he urinates less than 6 times per day. This is important because adequate urine output indicates proper hydration and kidney function in newborns. A decrease in urine output may indicate dehydration or other underlying issues that need to be addressed promptly. It is crucial for the nurse to educate the mother on monitoring her baby's urine output to ensure the baby's health and well-being.
Choice A is incorrect because retracting the foreskin to clean the baby's penis is not recommended as it can lead to injury and infection.
Choice B is incorrect because using triple antibiotic ointment on the umbilical cord can increase the risk of infection.
Choice C is incorrect because swaddling tightly with legs extended can increase the risk of hip dysplasia. It is important to educate parents on safe sleep practices for newborns.