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 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Feed the newborn immediately. Newborns of diabetic mothers are at risk for hypoglycemia due to fetal hyperinsulinemia. A bedside glucometer reading of 65 mg/dL in a 6-hour-old newborn indicates hypoglycemia. Immediate feeding with breast milk or formula is the initial treatment for neonatal hypoglycemia as it helps increase blood glucose levels. This helps prevent further complications such as seizures and brain damage. Options A, C, and D are incorrect:
A) Obtaining a blood sample for a serum glucose level delays immediate intervention,
C) Administering dextrose IV should be reserved for severe hypoglycemia, and
D) Reassessing blood glucose level before feeding delays necessary treatment.
Question 2 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.
Question 3 of 5
A nurse is reviewing the laboratory results for a newborn 12 hours old. Which of the following is an expected findings.
Correct Answer: A
Rationale: The correct answer is A: Glucose 40mg/dl. In a newborn, low blood glucose levels are expected within the first 24 hours due to the transition from placental glucose supply to independent glucose regulation. A glucose level of 40mg/dl at 12 hours is normal. WBC of 6000, Hemoglobin of 12, and Platelets of 80000 are within normal ranges but are not specific to a 12-hour-old newborn. It is crucial to monitor the glucose levels in newborns to prevent hypoglycemia, which can lead to neurological complications.
Question 4 of 5
A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Feed the newborn immediately. Newborns of diabetic mothers are at risk for hypoglycemia due to fetal hyperinsulinemia. A bedside glucometer reading of 65 mg/dL in a 6-hour-old newborn indicates hypoglycemia. Immediate feeding with breast milk or formula is the initial treatment for neonatal hypoglycemia as it helps increase blood glucose levels. This helps prevent further complications such as seizures and brain damage. Options A, C, and D are incorrect:
A) Obtaining a blood sample for a serum glucose level delays immediate intervention,
C) Administering dextrose IV should be reserved for severe hypoglycemia, and
D) Reassessing blood glucose level before feeding delays necessary treatment.
Question 5 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 by continuous IV infusion for preterm labor, it is crucial to monitor the serum medication level to ensure therapeutic effectiveness and prevent toxicity. Magnesium sulfate has a narrow therapeutic range, so monitoring the serum level helps in adjusting the dosage as needed.
Incorrect
Choices:
A: Indirect Coombs test - This test is used to detect antibodies in the blood that could cause destruction of red blood cells. It is not directly related to monitoring magnesium sulfate therapy.
B: Liver enzymes - While liver enzymes are important for assessing liver function, they are not specifically relevant to monitoring magnesium sulfate therapy.
C: Uric acid level - Monitoring uric acid levels is more commonly associated with conditions like gout or kidney disease, not magnesium sulfate therapy in preterm labor.