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 four antepartum clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client at 32 weeks of gestation reporting floating spots first because this symptom could indicate a serious condition called preeclampsia, characterized by high blood pressure and protein in the urine. This condition can be life-threatening for both the mother and baby if not managed promptly. Assessing this client first allows for early detection and intervention, reducing the risk of complications.
Choices A, C, and D present symptoms that are common in pregnancy but do not indicate immediate danger. Urinary frequency in early pregnancy (
A), leg cramps in late pregnancy (
C), and periodic numbness in fingers (
D) are typically benign and can be managed with routine interventions. Prioritizing the client with potential signs of preeclampsia (
B) ensures the safety and well-being of both the client and the baby.
Question 2 of 5
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Platelet Count 60,000/mm3. In preeclampsia, a low platelet count (thrombocytopenia) can indicate the development of HELLP syndrome, a severe variant of preeclampsia. Thrombocytopenia can lead to abnormal bleeding and is a significant concern for both the mother and the fetus. Reporting this finding promptly to the provider is crucial for timely intervention to prevent complications.
Other choices are incorrect because:
A: Urine protein concentration within the range of 200 mg/24 hr is expected in preeclampsia.
B: Creatinine level of 0.8 mg/dL is within the normal range and not indicative of immediate concern.
C: Hemoglobin level of 14.8 g/dL is within the normal range and not directly related to preeclampsia complications.
Question 3 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her toddler for a younger sibling.
Correct Answer: B
Rationale: The correct answer is B. Moving the toddler out of the crib 2 weeks before the due date allows the toddler to adjust to the change before the newborn arrives, reducing feelings of displacement or jealousy. Holding the newborn when introducing them may overwhelm the toddler. Placing the toddler in timeout for regressive behavior is not an appropriate or effective way to address their emotions during this transition.
Question 4 of 5
A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: your contractions will become more intense when walking. False labor, also known as Braxton Hicks contractions, typically do not indicate true labor. Walking can often lessen the intensity of false contractions, distinguishing them from true labor.
Choice B is incorrect because dilation and effacement of the cervix are indicative of true labor.
Choice C, bloody show, is also a sign of true labor.
Choice D is incorrect as false labor contractions are irregular, not temporally regular.
Question 5 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.