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 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 option respects the mother's wishes while also providing education on proper newborn care. By demonstrating and allowing the client to practice holding the newborn, the nurse can ensure the baby's safety and promote bonding. Insisting on the mother picking up the newborn (option
A) goes against her wishes and may cause tension. Persuading the client to breastfeed (option
C) may not be suitable if the mother prefers bottle-feeding. Offering to take the newborn to the nursery (option
D) disregards the mother's desire to care for her baby.
Question 2 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: D
Rationale:
Correct Answer: D - 1 cup cooked broccoli
Rationale: Broccoli is a good source of calcium, with around 43 mg per cup. This is higher than the other options listed. Avocado, banana, and potato are not significant sources of calcium.
Therefore, broccoli is the best choice to ensure adequate calcium intake for a vegan pregnant client.
Summary:
A: Avocado is not a high source of calcium.
B: Banana is not a high source of calcium.
C: Potato is not a high source of calcium.
D: Broccoli has the highest amount of calcium among the options provided.
Question 3 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: newborn who has nasal flaring. Nasal flaring indicates respiratory distress, which is a critical condition requiring immediate attention to ensure adequate oxygenation. Nasal flaring suggests that the newborn is having difficulty breathing and may lead to hypoxia if not addressed promptly. Assessing and addressing respiratory distress is a priority in newborn care to prevent further complications.
Choices B, C, and D do not pose immediate life-threatening concerns. Subconjunctival hemorrhage and overlapping suture lines are common in newborns and typically resolve on their own. Rust-stained urine may indicate hematuria, which should be monitored but does not require immediate attention compared to respiratory distress.
Question 4 of 5
A nurse is caring for a client who has received an epidural during labor. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Position a wedge under the client's left hip. Placing a wedge under the left hip helps to optimize the effectiveness of the epidural by promoting even distribution of the medication, ensuring proper pain management during labor. This position also helps to prevent nerve compression and potential complications.
B: Placing the client in the lithotomy position is not recommended as it can increase the risk of nerve compression and hinder the effectiveness of the epidural.
C: Assisting the client to a knee-chest position is not appropriate for a client with an epidural, as it can cause discomfort and compromise the effectiveness of the medication.
D: Elevating the head of the client's bed to 90% is unrelated to the management of an epidural and does not contribute to optimal pain relief.
Question 5 of 5
A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Contraction durations of 95 to 100 seconds. Prolonged contractions of this length can indicate uterine hyperstimulation, which may lead to fetal distress. Reporting this to the provider is crucial to prevent potential harm to the fetus.
Choice B is incorrect because a contraction frequency of 2 to 3 minutes apart is within the normal range.
Choice C is incorrect as absent early deceleration is a normal finding.
Choice D is incorrect as a fetal heart rate of 140/min is within a normal range for a fetus.