ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. The newborn's glucose level of 65 mg/dL is within the normal range for a 6-hour-old infant. In this case, the nurse should initiate feeding as breastfeeding or formula feeding can help stabilize the newborn's blood sugar levels. Delaying feeding could lead to hypoglycemia. Administering dextrose IV (
Choice
A) is not necessary as the glucose level is not critically low. Obtaining a blood sample for serum glucose level (
Choice
B) is unnecessary at this point. Reassessing blood glucose prior to the next feeding (
Choice
C) may delay necessary action.
Question 3 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her five-year 5day old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: The correct answer is D: Notify your baby's pediatrician if he urinates less than 6 times per day. This is important because it could indicate dehydration or other medical issues. A: Retracting the foreskin to clean the penis is not recommended as it can cause harm. B: Using triple antibiotic ointment on the umbilical cord can delay healing and increase infection risk. C: Swaddling tightly with legs extended can increase the risk of hip dysplasia. Overall, D is the correct choice as it focuses on monitoring the baby's health and well-being.
Question 4 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure 88/58 mmHg. This blood pressure reading indicates hypotension, which could be a potential side effect of terbutaline. Hypotension can worsen maternal and fetal perfusion, leading to adverse outcomes. The nurse should withhold the medication and report this finding to the provider immediately.
Choices A, C, and D are within normal limits and do not require withholding the medication. A fasting blood glucose of 75 mg/dL is normal, urinary output of 40 ml/hr is adequate, and a fetal heart rate of 120/min is also within the normal range for a preterm fetus.
Question 5 of 5
A nurse is caring for a client who has preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: D
Rationale: The correct answer is D: Serum medication level. When a client is receiving magnesium sulfate for tocolytic therapy, monitoring the serum medication level is crucial to ensure the drug is within the therapeutic range (4-7.5 mg/dL). This is important to prevent toxicity which can lead to respiratory depression, hypotension, and cardiac arrest. Checking liver enzymes (choice
B) is not directly related to magnesium sulfate therapy. Uric acid level (choice
C) is not typically monitored during tocolytic therapy. Indirect Coombs test (choice
A) is used to detect antibodies on the surface of red blood cells, not relevant in this scenario.