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 planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Swaddle the newborn in a flexed position. This is important for newborns with neonatal abstinence syndrome to provide comfort and security, mimicking the womb environment. Swaddling helps reduce excessive movement and agitation, promoting better sleep and soothing the newborn. Option A is incorrect as increased visual stimulation can overwhelm the newborn. Option B is incorrect as daily weighing is recommended to monitor for weight fluctuations. Option C is incorrect as parental interaction is crucial for bonding and emotional development.
Question 2 of 5
A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: The correct answer is B: Increased urination. Hyperglycemia, high blood sugar level, in gestational diabetes mellitus can lead to osmotic diuresis, causing increased urination (polyuria). This occurs because the kidneys try to eliminate excess glucose from the blood by excreting it in the urine, resulting in increased urine production. Double vision is associated with hyperglycemia in diabetic ketoacidosis, not specifically gestational diabetes. Sweating and dizziness are more commonly related to hypoglycemia, low blood sugar. Hence, the most specific and indicative clinical finding of hyperglycemia in gestational diabetes is increased urination.
Question 3 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Correct Answer: B
Rationale: The correct answer is B: Allow the baby to feed at least every 3 hours. This is important for establishing a good breastfeeding routine and ensuring the baby receives enough nutrition. Feeding every 3 hours helps maintain the baby's hydration and promotes milk production.
Choice A is incorrect because newborns typically need more frequent feedings, about 8-12 times a day.
Choice C is incorrect as newborns should only be offered breast milk or formula, not water.
Choice D is incorrect because newborns should feed until they are satisfied, not limited to a specific time frame.
Question 4 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 5 of 5
A nurse is planning care for a client who is pregnant and has HIV.
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin-to-skin contact. This is important to reduce the risk of HIV transmission from the mother to the newborn. Bathing the newborn before skin-to-skin contact helps remove any potential infectious material present on the baby's skin. This practice is recommended by the CDC to reduce the risk of transmission of HIV from the mother to the baby. It is crucial to prevent direct contact with any bodily fluids that may contain the virus. In contrast, choices A, C, and D are incorrect:
A) Using a fetal scalp electrode can increase the risk of exposure to maternal blood during labor.
C) Stopping antiretroviral medication can lead to increased viral load and transmission risk.
D) Administering pneumococcal immunization is not directly related to preventing HIV transmission.