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 developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: B
Rationale: The correct answer is B: The mother is Rh negative, and the father is Rh positive. Hemolytic disease in newborns occurs when a Rh-negative mother is carrying a Rh-positive baby. If the baby's Rh-positive blood enters the mother's bloodstream during pregnancy or childbirth, the mother's immune system may produce antibodies against the baby's blood cells, causing hemolysis. This can lead to severe anemia and other complications in the newborn. In choices A, C, and D, there is no Rh incompatibility between the mother and father, so hemolytic disease is less likely to occur.
Therefore, choice B is the most appropriate genetic information to include in the educational program.
Question 2 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 3 of 5
A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Platelets 100,000/mm³. This finding indicates thrombocytopenia, which can lead to bleeding disorders in newborns. Reporting this to the provider is crucial for further evaluation and management.
Incorrect options:
A: Blood glucose 58 mg/dL - This value is within the normal range for newborns.
B: Hematocrit 48% - This value is also within the normal range for newborns.
D: Hemoglobin 16 g/dL - This value is within the normal range for newborns.
Question 4 of 5
A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: B
Rationale: The correct answer is B: The mother is Rh negative, and the father is Rh positive. Hemolytic disease in newborns occurs when a Rh-negative mother is carrying a Rh-positive baby. If the baby's Rh-positive blood enters the mother's bloodstream during pregnancy or childbirth, the mother's immune system may produce antibodies against the baby's blood cells, causing hemolysis. This can lead to severe anemia and other complications in the newborn. In choices A, C, and D, there is no Rh incompatibility between the mother and father, so hemolytic disease is less likely to occur.
Therefore, choice B is the most appropriate genetic information to include in the educational program.
Question 5 of 5
A nurse in a woman’s health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)?
Correct Answer: D
Rationale: The correct answer is D: Chlamydia Infection. Chlamydia is a common sexually transmitted infection that can lead to PID if left untreated. The bacteria can ascend from the vagina into the upper reproductive organs, causing inflammation and scarring. This increases the risk of PID. Recurrent Cystitis (
A) is a bladder infection and does not directly increase the risk of PID. Frequent Alcohol Use (
B) and Use of Oral Contraceptives (
C) are not directly linked to PID development.
Therefore, the presence of Chlamydia infection poses the highest risk for developing PID in this scenario.