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: Administer broad-spectrum antibiotics. This is crucial to prevent infection as the exposed neural tissue puts the newborn at risk. Antibiotics help reduce the risk of meningitis. Cleaning the site with povidone-iodine (
B) can be too harsh for the fragile tissue. Monitoring rectal temperature (
C) is not directly related to managing the myelomeningocele. Surgical closure (
D) should be done as soon as possible, not after 72 hours.
Question 2 of 5
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because positioning the baby's car seat at a 45-degree angle in the car helps prevent the baby's head from flopping forward and potentially obstructing the airway, ensuring optimal safety.
Choice B is incorrect because it doesn't specify the recommended weight limit for rear-facing seats, which is typically until the baby reaches 20-35 pounds.
Choice C is incorrect as the harness should be positioned at or below the baby's shoulders, not above.
Choice D is incorrect because the retainer clip should be positioned at armpit level, not at the top of the baby's abdomen.
Question 3 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.
Question 4 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 5 of 5
A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Cover the umbilical cord with sterile saline saturated towel. This action is essential to prevent compression and protect the exposed cord from infection. By covering the umbilical cord with a sterile saline-saturated towel, the nurse can maintain the cord's moisture and integrity, reducing the risk of cord compression and infection. This step is crucial in managing a prolapsed umbilical cord until emergency interventions can be performed.
Summary:
A: Initiating IV fluids is not the priority in this situation as the immediate concern is to protect the umbilical cord.
B: Performing a vaginal examination by applying upward pressure can further compress the cord and worsen the fetal distress.
C: Administering oxygen is important but is not the immediate priority compared to protecting the umbilical cord.
E, F, G: Not applicable.