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 clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?
Correct Answer: D
Rationale:
Correct Answer: D - A client who has felt quickening for the first time.
Rationale: Quickening refers to the first perception of fetal movement by the mother, typically around 18-20 weeks of gestation. Auscultating the fetal heart rate at this point confirms fetal viability, provides reassurance, and allows for monitoring of the fetal well-being. It is an essential part of prenatal care to ensure the health and development of the fetus.
Summary of Other
Choices:
A: A client with a molar pregnancy does not have a viable fetus, so auscultating the fetal heart rate is not applicable.
B: A crown-rump length of 7 weeks gestation is still early in pregnancy, and fetal heart tones may not be reliably detected at this point.
C: A positive urine pregnancy test 1 week after missed menses indicates early pregnancy, but it is too early to reliably auscultate the fetal heart rate.
Question 2 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 3 of 5
A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps)
Correct Answer: A,B,C.D
Rationale: Action to Take: A, B; Potential Condition: Uterine atony; Parameter to Monitor: Perineum for clots, Amount of bleeding.
Rationale: A helps position the client for the massage. B establishes proper hand placement. C guides the massage technique for uterine stimulation. D is crucial to monitor post-massage for complications.
Incorrect
Choices: The remaining choices do not contribute directly to fundal massage or monitoring postpartum hemorrhage.
Question 4 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Correct Answer: D
Rationale:
Correct Answer: D. The client should have her provider refit her for a new diaphragm. After giving birth, the size and shape of the cervix may change, affecting the fit of the diaphragm. This can impact its effectiveness in preventing pregnancy. It is essential for the client to have her diaphragm refitted to ensure proper contraception.
A: Incorrect. Oil-based vaginal lubricants can damage the diaphragm material.
B: Incorrect. Storing the diaphragm in sterile water is not necessary; it should be cleaned and stored in a cool, dry place.
C: Incorrect. Keeping the diaphragm in place for an extended period can increase the risk of infection.
E, F, G: No additional options provided.
Question 5 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Breast Tenderness. Clomiphene citrate is a medication commonly used for infertility treatment. One of its common side effects is breast tenderness due to its estrogenic effects on the body. The medication works by stimulating ovulation, which can lead to increased estrogen levels, resulting in breast tenderness. Tinnitus (
A), urinary frequency (
B), and chills (
D) are not typically associated with clomiphene citrate use in the context of infertility treatment.
Therefore, they are incorrect choices.