ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: A client who is at 32 weeks of gestation and reports seeing floating spots. This client should be assessed first because floating spots in vision could be a sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage. Preeclampsia can lead to severe complications for both the mother and the baby if not promptly addressed. Assessing this client first allows for timely intervention and management of potential preeclampsia.
Other choices are incorrect because:
A: Urinary frequency at 7 weeks of gestation is common and not an urgent issue.
C: Leg cramps at 38 weeks of gestation are often due to normal physiological changes in pregnancy and are not typically a priority.
D: Periodic numbness in fingers at 20 weeks of gestation may be related to carpal tunnel syndrome, a common issue in pregnancy, but it is not as urgent as possible signs of preeclampsia.
Question 2 of 5
A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: A client who is at 32 weeks of gestation and reports seeing floating spots. This client should be assessed first because floating spots in vision could be a sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage. Preeclampsia can lead to severe complications for both the mother and the baby if not promptly addressed. Assessing this client first allows for timely intervention and management of potential preeclampsia.
Other choices are incorrect because:
A: Urinary frequency at 7 weeks of gestation is common and not an urgent issue.
C: Leg cramps at 38 weeks of gestation are often due to normal physiological changes in pregnancy and are not typically a priority.
D: Periodic numbness in fingers at 20 weeks of gestation may be related to carpal tunnel syndrome, a common issue in pregnancy, but it is not as urgent as possible signs of preeclampsia.
Question 3 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Painless, vaginal bleeding. In placenta previa, the placenta implants low in the uterus, covering the cervix, leading to painless bleeding in the third trimester. A: Firm rigid abdomen is associated with abruptio placentae. C: Uterine hypertonicity is seen in conditions like uterine rupture. D: Persistent headache is not a typical finding in placenta previa.
Question 4 of 5
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. The newborn's glucose level of 65 mg/dL is within the normal range for a 6-hour-old infant. In this case, the nurse should initiate feeding as breastfeeding or formula feeding can help stabilize the newborn's blood sugar levels. Delaying feeding could lead to hypoglycemia. Administering dextrose IV (
Choice
A) is not necessary as the glucose level is not critically low. Obtaining a blood sample for serum glucose level (
Choice
B) is unnecessary at this point. Reassessing blood glucose prior to the next feeding (
Choice
C) may delay necessary action.
Question 5 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure the newborn's eyes are closed beneath the shield. During phototherapy, the newborn's eyes must be protected from the light to prevent damage. Placing a shield over the eyes helps to minimize exposure.
Choice A is incorrect because lotions can interfere with the effectiveness of phototherapy.
Choice B is incorrect as clothing can also block the light needed for therapy.
Choice D is incorrect as giving glucose water is not necessary for phototherapy and may not be appropriate for a newborn.