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 immediately following birth for a newborn who has myelomeningocele that is leaking cerebrospinal fluid.
Correct Answer: A
Rationale: The correct answer is A. Administering broad-spectrum antibiotics is crucial to prevent infection since the exposed spinal cord increases the risk. Antibiotics help reduce the risk of meningitis and sepsis.
Choice B is incorrect as povidone-iodine can be irritating to the sensitive skin around the defect.
Choice C is incorrect as monitoring rectal temperature is not directly related to the immediate care needed for a myelomeningocele.
Choice D is incorrect because surgical closure should be done as soon as possible to prevent further complications.
Question 2 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her toddler for a younger sibling.
Correct Answer: B
Rationale: The correct answer is B because moving the toddler out of the crib before the baby arrives allows the toddler time to adjust to the change without associating it directly with the baby's arrival. Holding the newborn in your arms (
A) may make the toddler feel left out. Placing the toddler in timeout (C,
D) for regressive behavior can create negative associations with the new sibling.
Question 3 of 5
A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps)
Order the Items
Source Container
Correct Answer: A,B,C.D
Rationale: The correct order for performing fundal massage is A, B, C, and D. First, asking the client to lie on her back with knees flexed (
A) allows for proper positioning.
Then, positioning one hand around the top of the fundus and one hand above the symphysis pubis (
B) ensures correct placement for the massage. Next, rotating the upper hand to massage the uterus while applying slight downward pressure (
C) facilitates uterine contractions. Finally, observing the perineum for clots and bleeding (
D) helps monitor postpartum hemorrhage.
Choices E, F, and G are not applicable to the process of performing a fundal massage and are therefore incorrect.
Question 4 of 5
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Avoid using lotion or ointment on the newborn skin. This is because lotions or ointments can interfere with the effectiveness of phototherapy by blocking the light from reaching the skin. Dressing the newborn in lightweight clothing (
Choice
A) is important to maximize skin exposure to the light. Keeping the newborn supine throughout treatment (
Choice
C) is not directly related to the effectiveness of phototherapy. Measuring the newborn's temperature every 8 hours (
Choice
D) is important but not specifically related to phototherapy.
Question 5 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 priority concern in newborns as it can lead to hypoxia. The nurse should assess this newborn first to ensure adequate oxygenation.
B: Subconjunctival hemorrhage is common and not an urgent issue.
C: Overlapping suture lines are normal in newborns and do not require immediate attention.
D: Not passing rust-stained urine could indicate a metabolic issue but is not as urgent as respiratory distress.