ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. The newborn's glucose level of 65 mg/dL is within the normal range for a 6-hour-old infant. In this case, the nurse should initiate feeding as breastfeeding or formula feeding can help stabilize the newborn's blood sugar levels. Delaying feeding could lead to hypoglycemia. Administering dextrose IV (
Choice
A) is not necessary as the glucose level is not critically low. Obtaining a blood sample for serum glucose level (
Choice
B) is unnecessary at this point. Reassessing blood glucose prior to the next feeding (
Choice
C) may delay necessary action.
Question 2 of 5
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. The newborn's glucose level of 65 mg/dL is within the normal range for a 6-hour-old infant. In this case, the nurse should initiate feeding as breastfeeding or formula feeding can help stabilize the newborn's blood sugar levels. Delaying feeding could lead to hypoglycemia. Administering dextrose IV (
Choice
A) is not necessary as the glucose level is not critically low. Obtaining a blood sample for serum glucose level (
Choice
B) is unnecessary at this point. Reassessing blood glucose prior to the next feeding (
Choice
C) may delay necessary action.
Question 3 of 5
A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: A client who is at 32 weeks of gestation and reports seeing floating spots. This client should be assessed first because floating spots in vision could be a sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage. Preeclampsia can lead to severe complications for both the mother and the baby if not promptly addressed. Assessing this client first allows for timely intervention and management of potential preeclampsia.
Other choices are incorrect because:
A: Urinary frequency at 7 weeks of gestation is common and not an urgent issue.
C: Leg cramps at 38 weeks of gestation are often due to normal physiological changes in pregnancy and are not typically a priority.
D: Periodic numbness in fingers at 20 weeks of gestation may be related to carpal tunnel syndrome, a common issue in pregnancy, but it is not as urgent as possible signs of preeclampsia.
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.