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 who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: WBC count 32,000/mm3. A WBC count of 32,000/mm3 in a 24-hour-old newborn is significantly elevated, indicating a possible infection that requires prompt medical attention. High WBC count is a concerning finding in newborns as it may indicate sepsis or other serious conditions.
Choice A: Hgb 20 g/dL is within the normal range for newborns.
Choice B: Bilirubin 2mg/dL is within the normal range for newborns.
Choice C: Platelets 200,000/mm3 is within the normal range for newborns.
In summary, the elevated WBC count is the most critical finding that requires immediate reporting to the healthcare provider. The other choices are within normal ranges for a 24-hour-old newborn and do not indicate immediate concern.
Question 2 of 5
A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Platelets 100,000/mm³. This finding indicates thrombocytopenia, which can lead to bleeding disorders in newborns. Reporting this to the provider is crucial for further evaluation and management.
Incorrect options:
A: Blood glucose 58 mg/dL - This value is within the normal range for newborns.
B: Hematocrit 48% - This value is also within the normal range for newborns.
D: Hemoglobin 16 g/dL - This value is within the normal range for newborns.
Question 3 of 5
A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B. Breast milk can be stored in a deep freezer for 12 months because freezing at a lower temperature helps maintain the quality and nutrients in breast milk for a longer period. Storing breast milk in a deep freezer ensures it remains safe for consumption when the mother returns to work.
Choice A is incorrect because thawed breast milk can only be refrigerated for up to 24 hours, not 72 hours.
Choice C is incorrect as breast milk can only be stored at room temperature for up to 4 hours.
Choice D is incorrect because thawed breast milk should not be refrozen as it can lead to a loss of nutrients and potential contamination.
Question 4 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 5 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: Contractions last 60 seconds. Prolonged contractions can lead to uterine tachysystole, which can reduce placental perfusion and oxygenation to the fetus. This can result in fetal distress and compromise. Non-repetitive early decelerations (
B) are common and not a reason to discontinue oxytocin. 6 contractions in 10 minutes (
C) is within the normal range. Moderate variability of the fetal heart rate (
D) is a sign of good oxygenation and fetal well-being, indicating that oxytocin can continue.