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 to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B. Breast milk can be stored in a deep freezer for 12 months because freezing at a lower temperature helps maintain the quality and nutrients in breast milk for a longer period. Storing breast milk in a deep freezer ensures it remains safe for consumption when the mother returns to work.
Choice A is incorrect because thawed breast milk can only be refrigerated for up to 24 hours, not 72 hours.
Choice C is incorrect as breast milk can only be stored at room temperature for up to 4 hours.
Choice D is incorrect because thawed breast milk should not be refrozen as it can lead to a loss of nutrients and potential contamination.
Question 2 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.
Question 3 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: “You can bathe and dress your baby if you’d like to.” This statement empowers the client to make decisions about what they want to do with their baby, respecting their autonomy and providing support in their grieving process. It acknowledges the client's need for control and involvement in the situation.
Choice B is incorrect because it assumes holding the baby is necessary for the grieving process, which may not be the case for every individual.
Choice C is incorrect as naming the baby may not be the right choice for everyone and should be left to the parents to decide.
Choice D is incorrect as it minimizes the client's current loss and may be seen as insensitive. It is important to focus on the client's current feelings and needs rather than future possibilities.
Question 4 of 5
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
Correct Answer: B
Rationale: The correct answer is B: A client who has gestational diabetes mellitus. Misoprostol is commonly used for labor induction in cases of gestational diabetes mellitus to prevent complications associated with prolonged pregnancy. It helps in ripening the cervix and initiating contractions. Clients with active genital herpes are not candidates for misoprostol due to the risk of exacerbating the infection. Clients with a previous uterine incision are at risk for uterine rupture with misoprostol. Clients with placenta previa should not undergo labor induction with misoprostol due to the risk of increasing bleeding.
Question 5 of 5
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Nails extending over tips of fingers. Post-term newborns have longer nails due to prolonged intrauterine growth. This is an expected finding in post-term infants.
Choice B is incorrect as post-term infants may have less subcutaneous fat due to nutrient depletion.
Choice C is incorrect as post-term infants may have dry, cracked skin rather than translucent.
Choice D is incorrect as post-term infants may have less lanugo hair due to gestational age.