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 is scheduled to start phototherapy using a lap.
Correct Answer: C
Rationale: The correct answer is C because during phototherapy, the newborn's eyes need to be protected from the light to prevent damage. Placing a shield over the eyes ensures that the light does not harm the delicate eyes. Applying lotion is unnecessary and could interfere with the effectiveness of the therapy. Dressing the newborn in clothing may block the light from reaching the skin, reducing the therapy's effectiveness. Giving glucose water is unrelated to phototherapy and could be harmful to the newborn.
Question 2 of 5
A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Consume food served at cool temperatures. This recommendation is appropriate for alleviating nausea and vomiting during early pregnancy because warm or hot foods can trigger these symptoms. Cold foods are often better tolerated and can help reduce nausea.
Choice A is incorrect as avoiding snacks before bedtime may not necessarily help with nausea.
Choice B of eating high-fat snacks before getting out of bed may worsen symptoms.
Choice C of drinking additional liquids with each meal may not address the underlying cause of nausea.
Question 3 of 5
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
Correct Answer: D
Rationale: The correct answer is D: Sternal retractions. This finding indicates respiratory distress in the newborn, which requires immediate intervention to ensure adequate oxygenation. Sternal retractions suggest increased work of breathing and potential respiratory compromise. Molding (
A) is a normal physiological process related to the passage through the birth canal. Vernix Caseosa (
B) is a protective substance on the newborn's skin and is normal. Acrocyanosis (
C) is a common finding in newborns due to immature circulation and usually resolves on its own. In summary, sternal retractions are concerning for respiratory distress, while the other findings are normal or expected in the immediate post-birth period.
Question 4 of 5
A nurse is assisting with an amniotomy on a client who is in labor. Which of the following situations should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure that the fetal head is engaged. This is crucial before performing an amniotomy to prevent cord prolapse. The engaged fetal head helps maintain a good seal between the presenting part and the cervix, reducing the risk of cord compression. Placing the client in the left lateral position or giving clean gloves to the provider are not directly related to ensuring the fetal head is engaged. Checking the client's temperature every 4 hours after the procedure is important for monitoring maternal well-being but is not directly related to the amniotomy procedure itself.
Question 5 of 5
A nurse is assessing a full-term newborn upon 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. This finding may indicate the presence of Down syndrome or other chromosomal abnormalities. It is important to report this to the provider for further evaluation and testing. Transient circumoral cyanosis is common in newborns and usually resolves on its own. Subconjunctival hemorrhage is also common and typically resolves without treatment. Rust-stained urine may result from urate crystals and is normal in newborns within the first few days of life. It is not a cause for concern and does not require immediate reporting to the provider.