ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing -Nurselytic

Correct Answer: A

Rationale: The correct answer is A because nasal flaring indicates respiratory distress, which is a critical condition requiring immediate assessment and intervention to ensure adequate oxygenation. Nasal flaring is a sign of increased work of breathing and potential airway obstruction. Subconjunctival hemorrhage (
B) is a common and benign finding in newborns, not requiring urgent attention. Overlapping suture lines (
C) are typically seen in newborns and may resolve on their own without intervention. Rust-stained urine (
D) may indicate the presence of uric acid crystals, which is common in newborns and not typically a cause for immediate concern.
Therefore, assessing the newborn with nasal flaring first is crucial to ensure their respiratory status is stable.

Correct Answer: B

Rationale: The correct answer is B: A client who has gestational diabetes mellitus. Misoprostol is commonly used for labor induction in cases of gestational diabetes mellitus to prevent complications associated with prolonged pregnancy. It helps in ripening the cervix and initiating contractions. Clients with active genital herpes are not candidates for misoprostol due to the risk of exacerbating the infection. Clients with a previous uterine incision are at risk for uterine rupture with misoprostol. Clients with placenta previa should not undergo labor induction with misoprostol due to the risk of increasing bleeding.

Correct Answer: A

Rationale: The correct answer is A: “You can bathe and dress your baby if you’d like to.” This statement empowers the client to make decisions about what they want to do with their baby, respecting their autonomy and providing support in their grieving process. It acknowledges the client's need for control and involvement in the situation.


Choice B is incorrect because it assumes holding the baby is necessary for the grieving process, which may not be the case for every individual.
Choice C is incorrect as naming the baby may not be the right choice for everyone and should be left to the parents to decide.
Choice D is incorrect as it minimizes the client's current loss and may be seen as insensitive. It is important to focus on the client's current feelings and needs rather than future possibilities.

Correct Answer: B

Rationale: The correct answer is B: Single palmar creases. This finding may indicate the presence of Down syndrome or other chromosomal abnormalities. It is important to report this to the provider for further evaluation and testing. Transient circumoral cyanosis is common in newborns and usually resolves on its own. Subconjunctival hemorrhage is also common and typically resolves without treatment. Rust-stained urine may result from urate crystals and is normal in newborns within the first few days of life. It is not a cause for concern and does not require immediate reporting to the provider.

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.