ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D. Cover the umbilical cord with a sterile saline-saturated towel. This action helps prevent cord compression and protects the cord from drying out, reducing the risk of infection. It also helps maintain blood flow to the fetus.
A: Initiating IV fluids is not the priority in this situation.
B: Performing a vaginal examination could worsen the situation by causing further cord compression.
C: Administering oxygen is important but should not be the first action in this scenario.
In summary, covering the umbilical cord with a sterile saline-saturated towel is crucial to prevent complications and maintain fetal well-being.
Question 2 of 5
A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Platelet count 60,000/mm. In pre-eclampsia, platelet count can decrease due to the risk of developing HELLP syndrome, a severe form of pre-eclampsia. Thrombocytopenia can lead to bleeding complications and is a serious concern in pregnancy. Reporting this finding to the provider is crucial for timely intervention.
Incorrect choices:
A: Hemoglobin level within normal range, not a priority.
C: Creatinine level within normal range, not directly related to pre-eclampsia.
D: Urine protein concentration of 200 mg/24hr is indicative of proteinuria, a common finding in pre-eclampsia, but not as critical as low platelet count.
Question 3 of 5
A nurse is caring for a client who has preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: D
Rationale: The correct answer is D: Serum medication level. When a client is receiving magnesium sulfate for tocolytic therapy, monitoring the serum medication level is crucial to ensure the drug is within the therapeutic range (4-7.5 mg/dL). This is important to prevent toxicity which can lead to respiratory depression, hypotension, and cardiac arrest. Checking liver enzymes (choice
B) is not directly related to magnesium sulfate therapy. Uric acid level (choice
C) is not typically monitored during tocolytic therapy. Indirect Coombs test (choice
A) is used to detect antibodies on the surface of red blood cells, not relevant in this scenario.
Question 4 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: You should give your toddler a gift from the baby when she visits. This choice promotes positive associations between the toddler and the new sibling, fostering a sense of inclusion and bonding. A gift can help the toddler feel special and valued during the transition.
Choices A, C, and D are incorrect as they do not address the emotional and psychological needs of the toddler in preparing for a new sibling. Holding the newborn in front of the toddler may overwhelm or intimidate the toddler. Moving the toddler out of the crib early may disrupt routine and cause anxiety. Placing the toddler in timeout for regressive behavior can create negative associations with the new sibling.
Question 5 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States < No, the baby is too tired to be held=. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This is the best choice because it empowers the mother by providing education on proper newborn handling while respecting her decision not to pick up the baby at that moment. By demonstrating and allowing the client to practice, the nurse promotes learning and confidence-building for the mother.
Choice A is incorrect because insisting on the mother picking up the newborn can be seen as disrespectful and may not address the underlying issue of the mother's concern for the baby's tiredness.
Choice C is incorrect as it does not address the immediate situation of the newborn's need for feeding and the mother's preference not to hold the baby.
Choice D is not appropriate as the mother may want to be involved in feeding her baby.