ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure the newborn's eyes are closed beneath the shield. During phototherapy, the newborn's eyes must be protected from the light to prevent damage. Placing a shield over the eyes helps to minimize exposure.
Choice A is incorrect because lotions can interfere with the effectiveness of phototherapy.
Choice B is incorrect as clothing can also block the light needed for therapy.
Choice D is incorrect as giving glucose water is not necessary for phototherapy and may not be appropriate for a newborn.
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 in gestational diabetes mellitus leads to elevated blood glucose levels, causing the kidneys to filter excess glucose into urine, leading to increased urination (polyuria). This is a classic symptom of hyperglycemia.
Double vision (
A) can be a sign of hypoglycemia, not hyperglycemia. Sweating (
C) and dizziness (
D) can be nonspecific symptoms and not specific to hyperglycemia.
Question 3 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Painless, vaginal bleeding. In placenta previa, the placenta implants low in the uterus, covering the cervix, leading to painless bleeding in the third trimester. A: Firm rigid abdomen is associated with abruptio placentae. C: Uterine hypertonicity is seen in conditions like uterine rupture. D: Persistent headache is not a typical finding in placenta previa.
Question 4 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: You should give your toddler a gift from the baby when she visits. This choice promotes positive associations between the toddler and the new sibling, fostering a sense of inclusion and bonding. A gift can help the toddler feel special and valued during the transition.
Choices A, C, and D are incorrect as they do not address the emotional and psychological needs of the toddler in preparing for a new sibling. Holding the newborn in front of the toddler may overwhelm or intimidate the toddler. Moving the toddler out of the crib early may disrupt routine and cause anxiety. Placing the toddler in timeout for regressive behavior can create negative associations with the new sibling.
Question 5 of 5
A nurse is assessing a full-term newborn arm admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Single Palmar creases - Down syndrome. A single palmar crease, also known as a simian crease, is a physical characteristic often seen in individuals with Down syndrome. The presence of a single palmar crease should be reported to the provider for further evaluation and possible confirmation of a Down syndrome diagnosis. Transient circumoral cyanosis (choice
A) is common in newborns and usually resolves on its own. Subconjunctival hemorrhage (choice
C) and rust stain urine (choice
D) are also common findings in newborns and do not typically require immediate provider notification.