ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is essential to prevent infection in the newborn with Myelomeningocele, as the exposed cerebrospinal fluid increases the risk of infection. Antibiotics are crucial to prevent meningitis, a serious complication. Cleansing the site with Povidone iodine (
B) may be necessary, but it does not address the systemic infection risk. Monitoring rectal temperature (
C) is important, but not the priority over preventing infection. Surgical closure (
D) may be necessary, but antibiotics are the immediate priority.
Question 2 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin to skin contact. This is important to minimize the risk of HIV transmission from the mother to the newborn. Bathing the newborn helps to remove any potential blood or body fluids that may contain the virus. Initiating skin to skin contact without bathing the newborn first could increase the risk of transmission.
Choice A is incorrect because using a fetal scalp electrode during labor and delivery is unrelated to preventing HIV transmission.
Choice C is incorrect because instructing the client to stop taking antiretroviral medication at 32 weeks of gestation could harm both the mother and the baby by increasing the risk of HIV transmission.
Choice D is incorrect because administering pneumococcal immunization to the newborn within 4 hours following birth is not directly related to preventing HIV transmission.
In summary, bathing the newborn before initiating skin to skin contact is the most appropriate action to prevent HIV transmission in this scenario.
Question 3 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Allow the baby to feed at least every 3 hours. This instruction is crucial for maintaining an adequate milk supply and ensuring the baby receives sufficient nutrition. Frequent feeding also helps prevent engorgement, promotes bonding, and supports the establishment of a successful breastfeeding relationship. Option A is incorrect because 2 to 4 wet diapers every 24 hours may indicate inadequate milk intake. Option C is incorrect as newborns should not be given water as it can interfere with breastfeeding and lead to water intoxication. Option D is incorrect because newborns should be allowed to feed as long as they want on each breast to ensure they receive hindmilk.
Question 4 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. CMV infection during pregnancy can lead to congenital CMV in newborns, causing hearing loss. CMV can affect the inner ear, leading to sensorineural hearing loss. This is a common complication of congenital CMV infection. The other options are not typically associated with congenital CMV infection. Urinary tract infection (
A) is not a common manifestation. Macrosomia (
C) refers to a large birth weight, which is not typically associated with CMV infection. Cataracts (
D) are not a common finding in newborns with congenital CMV infection.
Question 5 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States < No, the baby is too tired to be held=. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This is the best choice because it empowers the mother by providing education on proper newborn handling while respecting her decision not to pick up the baby at that moment. By demonstrating and allowing the client to practice, the nurse promotes learning and confidence-building for the mother.
Choice A is incorrect because insisting on the mother picking up the newborn can be seen as disrespectful and may not address the underlying issue of the mother's concern for the baby's tiredness.
Choice C is incorrect as it does not address the immediate situation of the newborn's need for feeding and the mother's preference not to hold the baby.
Choice D is not appropriate as the mother may want to be involved in feeding her baby.