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 an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor blood glucose level every hr. Neonatal abstinence syndrome can cause hypoglycemia in infants. Monitoring blood glucose levels every hour is crucial to detect and manage hypoglycemia promptly. Providing a stimulating environment (
A) is not appropriate as infants with neonatal abstinence syndrome require a quiet and calm environment. Initiating seizure precautions (
C) is not necessary unless seizures are present. Placing the infant on his back with legs extended (
D) does not address the specific issue of monitoring blood glucose levels.
Question 2 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks of pregnancy, it is important to screen for gestational diabetes. The 1-hour glucose tolerance test helps in detecting elevated blood sugar levels. It is a routine test to assess the risk of gestational diabetes.
Choice B: Rubella titer is typically done early in pregnancy to check immunity to rubella and is not necessary at 24 weeks.
Choice C: Group B strep culture is usually done around 35-37 weeks gestation to determine if the mother carries group B strep bacteria, not at 24 weeks.
Choice D: Blood type and Rh testing are important in early pregnancy to determine if the mother is Rh-positive or negative and to assess compatibility with the baby's blood type. This test is not specific to 24 weeks.
Therefore, the 1-hour glucose tolerance test is the most relevant test to conduct at the 24-week prenatal appointment.
Question 3 of 5
A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply a cap to the newborn head. The newborn's respiratory rate, heart rate, and temperature are within normal range for a 1-hour-old infant. However, the temperature is slightly low. Applying a cap to the newborn's head can help prevent heat loss and maintain a stable body temperature. Giving a warm bath (
A) can cause further heat loss. Repositioning the newborn (
C) is not necessary based on the information provided. Obtaining an oxygen saturation level (
D) is not indicated as the vital signs are within normal limits.
Question 4 of 5
A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Chest circumference 2 cm smaller than the head circumference. This is expected in a newborn as the head circumference is typically larger than the chest circumference due to the size of the brain. This difference in measurements is known as the head-to-chest ratio and is a normal finding in a newborn. Bulging fontanels (
A) may indicate increased intracranial pressure, nasal flaring (
B) can be a sign of respiratory distress, and a length of 40 cm (
C) is within the normal range but not specifically related to the chest circumference.
Question 5 of 5
A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching.
Correct Answer: C
Rationale: The correct answer is C because checking urine for protein daily is crucial in monitoring preeclampsia. Proteinuria is a key indicator of worsening preeclampsia, and early detection is essential. Option A is incorrect as fetal movement should be monitored daily. Option B is incorrect because alternating arms for blood pressure checks is unnecessary. Option D is incorrect as the recommended protein intake is individualized and typically higher than 50g/day during pregnancy.