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 prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks of pregnancy, it is important to screen for gestational diabetes. The 1-hour glucose tolerance test helps in detecting elevated blood sugar levels. It is a routine test to assess the risk of gestational diabetes.
Choice B: Rubella titer is typically done early in pregnancy to check immunity to rubella and is not necessary at 24 weeks.
Choice C: Group B strep culture is usually done around 35-37 weeks gestation to determine if the mother carries group B strep bacteria, not at 24 weeks.
Choice D: Blood type and Rh testing are important in early pregnancy to determine if the mother is Rh-positive or negative and to assess compatibility with the baby's blood type. This test is not specific to 24 weeks.
Therefore, the 1-hour glucose tolerance test is the most relevant test to conduct at the 24-week prenatal appointment.
Question 2 of 5
A nurse is assisting with an amniotomy on a client who is in labor. Which of the following situations should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure that the fetal head is engaged. This is crucial before performing an amniotomy to prevent cord prolapse. The engaged fetal head helps maintain a good seal between the presenting part and the cervix, reducing the risk of cord compression. Placing the client in the left lateral position or giving clean gloves to the provider are not directly related to ensuring the fetal head is engaged. Checking the client's temperature every 4 hours after the procedure is important for monitoring maternal well-being but is not directly related to the amniotomy procedure itself.
Question 3 of 5
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
Correct Answer: D
Rationale: The correct answer is D: Sternal retractions. This finding indicates respiratory distress in the newborn, which requires immediate intervention to ensure adequate oxygenation. Sternal retractions suggest increased work of breathing and potential respiratory compromise. Molding (
A) is a normal physiological process related to the passage through the birth canal. Vernix Caseosa (
B) is a protective substance on the newborn's skin and is normal. Acrocyanosis (
C) is a common finding in newborns due to immature circulation and usually resolves on its own. In summary, sternal retractions are concerning for respiratory distress, while the other findings are normal or expected in the immediate post-birth period.
Question 4 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks of pregnancy, it is important to screen for gestational diabetes. The 1-hour glucose tolerance test helps in detecting elevated blood sugar levels. It is a routine test to assess the risk of gestational diabetes.
Choice B: Rubella titer is typically done early in pregnancy to check immunity to rubella and is not necessary at 24 weeks.
Choice C: Group B strep culture is usually done around 35-37 weeks gestation to determine if the mother carries group B strep bacteria, not at 24 weeks.
Choice D: Blood type and Rh testing are important in early pregnancy to determine if the mother is Rh-positive or negative and to assess compatibility with the baby's blood type. This test is not specific to 24 weeks.
Therefore, the 1-hour glucose tolerance test is the most relevant test to conduct at the 24-week prenatal appointment.
Question 5 of 5
A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Contraction durations of 95 to 100 seconds. Prolonged contractions of this length can indicate uterine hyperstimulation, which may lead to fetal distress. Reporting this to the provider is crucial to prevent potential harm to the fetus.
Choice B is incorrect because a contraction frequency of 2 to 3 minutes apart is within the normal range.
Choice C is incorrect as absent early deceleration is a normal finding.
Choice D is incorrect as a fetal heart rate of 140/min is within a normal range for a fetus.