ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing -Nurselytic

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ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions

Extract:


Question 1 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)

Correct Answer: A,B,C.D

Rationale: Action to Take: A, B; Potential Condition: Uterine atony; Parameter to Monitor: Perineum for clots, Amount of bleeding.

Rationale: A helps position the client for the massage. B establishes proper hand placement. C guides the massage technique for uterine stimulation. D is crucial to monitor post-massage for complications.
Incorrect

Choices: The remaining choices do not contribute directly to fundal massage or monitoring postpartum hemorrhage.

Question 2 of 5

A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?

Correct Answer: D

Rationale:
Rationale: Donning gloves for performing umbilical cord care is crucial to prevent infection transmission. The umbilical cord stump is a potential entry point for pathogens, so gloves provide a barrier. Assisting with breastfeeding (
A) does not require gloves unless there are open wounds on the mother's breast. Performing a newborn's bath (
B) does not involve contact with bodily fluids that necessitate glove use. Administering a vaccine (
C) requires clean technique, not necessarily gloves. Summary:

Choices A, B, and C do not involve direct exposure to bodily fluids or potential infection sources, so gloves are not necessary.
Choice D involves direct contact with a potential infection source, making gloves essential.

Question 3 of 5

A nurse is assessing a client who is 27 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: The correct answer is B: Platelet count 60,000/mm³. In pre-eclampsia, low platelet count can indicate HELLP syndrome, a severe variant requiring immediate intervention. Thrombocytopenia can lead to bleeding complications for both the mother and the fetus. Reporting this finding promptly can help prevent serious complications.


Choice A (Hemoglobin 14.8 g/dL) is within normal range and not a concerning finding in pre-eclampsia.
Choice C (Creatinine 0.8 mg/dL) is also within normal limits and not typically a primary concern in pre-eclampsia.
Choice D (Urine protein concentration 200 mg/24hr) is a common finding in pre-eclampsia, indicating proteinuria, but it is not as urgent as thrombocytopenia.

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. Phototherapy is used to treat jaundice in newborns by breaking down bilirubin in the skin. Using lotions or ointments can interfere with the effectiveness of phototherapy as they can block the light from reaching the skin. Dressing the newborn in lightweight clothing can help expose more skin to the light. Keeping the newborn supine throughout treatment is not necessary for phototherapy. Measuring the newborn's temperature every 8 hours is important but not directly related to phototherapy.

Question 5 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.

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