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 newborn boy, 6 hours old, whose bedside glucose meter reading is 65 mg/dL. The newborn's mother has Type 2 diabetes mellitus.
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. Newborns of mothers with diabetes are at risk for hypoglycemia due to increased insulin production in response to the mother's high blood glucose levels during pregnancy. Feeding the newborn helps increase blood glucose levels by providing essential nutrients. Administering IV dextrose solution (
A) is not necessary at this time as the glucose level is only slightly low and can be corrected with feeding. Obtaining a blood sample (
B) may delay necessary intervention. Reassessing blood glucose (
C) before feeding may further delay treatment.
Question 2 of 5
A nurse is using Nagele's 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 the client's expected delivery date?
Correct Answer: C
Rationale: The correct answer is C: May 5th. Nagele's rule is to add 7 days to the first day of the last menstrual period (July 28th), then subtract 3 months, and finally add 1 year.
Therefore, July 28th + 7 days = August 4th. Subtracting 3 months gives May 4th. Adding 1 year brings us to May 5th, the expected delivery date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation process.
Choice B (April 4th) is too early based on Nagele's rule.
Choice D (May 21st) is too late as it does not account for subtracting 3 months.
Question 3 of 5
A nurse is caring for a client who has a complete uterine rupture. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In a complete uterine rupture, there is a significant loss of blood leading to hypovolemic shock, which manifests as hypotension. This is due to the rupture of blood vessels in the uterus causing rapid blood loss. Early fetal heart rate decelerations (
A) are not typically associated with uterine rupture but rather with fetal distress. Painless, dark red vaginal bleeding (
C) is more indicative of placental abruption. Bounding peripheral pulses (
D) are not a common finding in uterine rupture as hypovolemia leads to decreased peripheral perfusion.
Question 4 of 5
A nurse is caring for a client who has received an epidural during labor. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Position a wedge under the client's left hip. Placing a wedge under the left hip helps to optimize the effectiveness of the epidural by promoting even distribution of the medication, ensuring proper pain management during labor. This position also helps to prevent nerve compression and potential complications.
B: Placing the client in the lithotomy position is not recommended as it can increase the risk of nerve compression and hinder the effectiveness of the epidural.
C: Assisting the client to a knee-chest position is not appropriate for a client with an epidural, as it can cause discomfort and compromise the effectiveness of the medication.
D: Elevating the head of the client's bed to 90% is unrelated to the management of an epidural and does not contribute to optimal pain relief.
Question 5 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.