ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States < No, the baby is too tired to be held=. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This is the best choice because it empowers the mother by providing education on proper newborn handling while respecting her decision not to pick up the baby at that moment. By demonstrating and allowing the client to practice, the nurse promotes learning and confidence-building for the mother.
Choice A is incorrect because insisting on the mother picking up the newborn can be seen as disrespectful and may not address the underlying issue of the mother's concern for the baby's tiredness.
Choice C is incorrect as it does not address the immediate situation of the newborn's need for feeding and the mother's preference not to hold the baby.
Choice D is not appropriate as the mother may want to be involved in feeding her baby.
Question 2 of 5
A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Platelet count 60,000/mm. In pre-eclampsia, platelet count can decrease due to the risk of developing HELLP syndrome, a severe form of pre-eclampsia. Thrombocytopenia can lead to bleeding complications and is a serious concern in pregnancy. Reporting this finding to the provider is crucial for timely intervention.
Incorrect choices:
A: Hemoglobin level within normal range, not a priority.
C: Creatinine level within normal range, not directly related to pre-eclampsia.
D: Urine protein concentration of 200 mg/24hr is indicative of proteinuria, a common finding in pre-eclampsia, but not as critical as low platelet count.
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
Correct Answer: D
Rationale: The correct answer is D because yellow exudate is a normal part of the healing process after a plastibell circumcision. This indicates the body's natural response to the procedure. A: The plastibell is not removed after 4 hours, but it falls off on its own in about 5-8 days. B: Dark red appearance at the end of the penis could be a sign of complications and should be reported immediately. C: The diaper should not be snug to avoid irritation to the surgical site.
Question 4 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 5 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1 hour glucose tolerance test. At 24 weeks, it is crucial to screen for gestational diabetes. This test helps identify if the client's body is processing sugar properly during pregnancy. Rubella titer and Group B strep culture are important tests but not typically done at 24 weeks. Blood type and Rh testing is usually done earlier in pregnancy, around 8-12 weeks. The 1-hour glucose tolerance test is the most relevant test for this stage of prenatal care to monitor the client's glucose levels and ensure the well-being of both the mother and baby.