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 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 2 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. CMV infection during pregnancy can lead to congenital CMV in the newborn, affecting the auditory nerve and causing sensorineural hearing loss. This is because the virus can damage the inner ear structures. Urinary tract infection (
A) is not a typical manifestation of congenital CMV. Macrosomia (
C) refers to excessive birth weight, which is not associated with CMV. Cataracts (
D) are not a common finding in newborns with congenital CMV.
Question 3 of 5
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous Discharge. Trichomoniasis, a sexually transmitted infection, commonly presents with a foul-smelling vaginal discharge. At 20 weeks of gestation, the client may experience an increase in vaginal discharge due to hormonal changes, but the characteristic of trichomoniasis discharge is malodorous. Thick, white discharge is more indicative of a yeast infection. Urinary frequency is not a typical symptom of trichomoniasis. Vulva lesions are not a common presentation of this infection.
Therefore, based on the client's gestational age and the specific symptom of malodorous discharge, choice D is the most appropriate expectation.
Question 4 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer a bolus of lactated Ringer. Maternal hypotension post-epidural is commonly due to vasodilation causing a decrease in blood pressure. Fluid bolus helps increase intravascular volume, thus improving blood pressure. Terbutaline is a tocolytic used to stop premature labor, not indicated for hypotension. Positioning in knee-chest is not recommended as it can worsen hypotension by reducing venous return. Applying oxygen via nonrebreather may be beneficial, but fluid resuscitation is the priority in this scenario.
Question 5 of 5
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Avoid using lotion or ointment on the newborn skin. Phototherapy is used to treat jaundice in newborns by breaking down bilirubin in the skin. Using lotions or ointments can interfere with the effectiveness of phototherapy as they can block the light from reaching the skin. Dressing the newborn in lightweight clothing can help expose more skin to the light. Keeping the newborn supine throughout treatment is not necessary for phototherapy. Measuring the newborn's temperature every 8 hours is important but not directly related to phototherapy.