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 sterile saline saturated towel. This is the correct next step because it helps prevent compression of the cord, which could lead to fetal compromise. By covering the cord with a sterile saline towel, the nurse can protect it from drying out and maintain a moist environment. This step is crucial in preventing further harm to the fetus.
A: Initiate an infusion of IV fluids for the client - This is not the priority at this moment. The focus should be on managing the umbilical cord prolapse and fetal distress.
B: Perform vaginal examination by applying upward pressure on the presenting part - This action could potentially worsen the situation by further compressing the cord. It is not recommended in this scenario.
C: Administer oxygen via non-rebreather mask at 8L/min - While oxygenation is important for the client and fetus, managing the umbilical cord prolapse takes precedence in this situation.
In summary, covering
Question 2 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should increase my calcium intake while taking this medication." This is because medroxyprogesterone can decrease bone density, so increasing calcium intake helps counteract this side effect. Option A is incorrect as spotting is a common side effect and not a reason to discontinue the medication. Option B is incorrect as medroxyprogesterone injections are typically given every 12-13 weeks, not every 8 weeks. Option D is incorrect as only one shot is typically given each time.
Question 3 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:
Correct Answer: B - You should give your toddler a gift from the baby when she visits.
Rationale: Giving a gift from the baby to the toddler helps create a positive association and bond between the siblings from the beginning. It can also help the toddler feel special and included in the new family dynamic. This gesture can promote a sense of love and acceptance, easing the transition for both the toddler and the newborn.
Incorrect
Choices:
A: Holding the newborn when introducing to the toddler may cause the toddler to feel overwhelmed or jealous.
C: Moving the toddler out of her crib close to the due date may disrupt her routine and lead to feelings of insecurity.
D: Placing the toddler in timeout for regressive behavior can create negative associations with the new sibling and cause emotional distress.
Question 4 of 5
A nurse is using Niagele9s rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/28
Correct Answer: C
Rationale: The correct answer is C: May 5th.
To calculate the expected delivery date using Naegele's rule, add 7 days to the first day of the last menstrual period (July 28th), then subtract 3 months, and add 1 year. July 28th + 7 days = August 4th. Subtract 3 months = May 4th. Add 1 year = May 5th.
Choice A is incorrect as it is too early.
Choice B is incorrect as it is also too early.
Choice D is incorrect as it is too late.
Question 5 of 5
The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D because applying steady pressure with a tennis ball to the lower back can help relieve lower back pain during labor. This technique targets the sacral area, which can alleviate discomfort and provide comfort.
Choice A is incorrect as upward pressure on the lower abdomen may not be effective for pain relief.
Choice B is incorrect as applying continuous pressure between the thumb and index finger is not related to counter pressure for labor pain.
Choice C is incorrect as pressure on the top of the uterus during contractions is not a recommended technique.