ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 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:
Step 1 (
A): Asking the client to lie on her back with knees flexed allows for proper access to the fundus and facilitates the massage.
Step 2 (
B): Positioning one hand around the top of the client's uterus and the other just above the symphysis pubis helps in locating and stabilizing the fundus.
Step 3 (
C): Rotating the upper hand to massage the uterus while applying slight downward pressure helps in stimulating contractions and reducing uterine atony.
Step 4 (
D): Observing the client's perineum for clots and bleeding is important to assess postpartum hemorrhage.
Summary:
Choice E, F, and G are incorrect as they do not provide essential steps for performing a fundal massage. E: There is no action step here. F and G: These steps are not necessary before the primary steps of fundal massage.
Question 2 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client which of the following vaccinations? Select all the apply
Correct Answer: C,D
Rationale: The correct vaccinations for a client at 30 weeks of gestation are Diphtheria-acellular pertussis (
C) and inactivated influenza (
D). Both are recommended during pregnancy to protect the mother and baby. Diphtheria-pertussis protects against respiratory infections, important for pregnant women due to increased susceptibility. Inactivated influenza is crucial to prevent severe flu complications. Varicella (
A) and human papillomavirus (
B) vaccines are contraindicated during pregnancy. The measles, mumps, and rubella (E) vaccine is a live attenuated vaccine, not recommended during pregnancy due to the theoretical risk of fetal harm.
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/mm. In pre-eclampsia, platelet count can decrease due to the risk of developing HELLP syndrome, a severe form of pre-eclampsia. Thrombocytopenia can lead to bleeding complications and is a serious concern in pregnancy. Reporting this finding to the provider is crucial for timely intervention.
Incorrect choices:
A: Hemoglobin level within normal range, not a priority.
C: Creatinine level within normal range, not directly related to pre-eclampsia.
D: Urine protein concentration of 200 mg/24hr is indicative of proteinuria, a common finding in pre-eclampsia, but not as critical as low platelet count.
Question 4 of 5
A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: The correct answer is B: Increased urination. Hyperglycemia in gestational diabetes mellitus leads to elevated blood glucose levels, causing the kidneys to filter excess glucose into urine, leading to increased urination (polyuria). This is a classic symptom of hyperglycemia.
Double vision (
A) can be a sign of hypoglycemia, not hyperglycemia. Sweating (
C) and dizziness (
D) can be nonspecific symptoms and not specific to hyperglycemia.
Question 5 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 can help alleviate nausea and vomiting during pregnancy, also known as morning sickness. Cold foods have less strong odors, which can help reduce nausea triggers. Additionally, cooler temperatures can help soothe the stomach and make food more palatable for someone experiencing morning sickness.
Avoiding eating snacks before bedtime (choice
A) may help reduce nausea for some individuals, but it is not as effective as consuming cool foods. Eating high-fat snacks before getting out of bed (choice
B) may exacerbate nausea due to the heaviness of high-fat foods. Drinking additional liquids with each meal (choice
C) may worsen nausea by filling the stomach further.