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

Correct Answer: B

Rationale: The correct answer is B: Allow the baby to feed at least every 3 hours. This is important for establishing a good breastfeeding routine and ensuring the baby receives enough nutrition. Feeding every 3 hours helps maintain the baby's hydration and promotes milk production.
Choice A is incorrect because newborns typically need more frequent feedings, about 8-12 times a day.
Choice C is incorrect as newborns should only be offered breast milk or formula, not water.
Choice D is incorrect because newborns should feed until they are satisfied, not limited to a specific time frame.

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.

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 adequate urine output indicates proper hydration and kidney function in newborns. A decrease in urine output may indicate dehydration or other underlying issues that need to be addressed promptly. It is crucial for the nurse to educate the mother on monitoring her baby's urine output to ensure the baby's health and well-being.


Choice A is incorrect because retracting the foreskin to clean the baby's penis is not recommended as it can lead to injury and infection.
Choice B is incorrect because using triple antibiotic ointment on the umbilical cord can increase the risk of infection.
Choice C is incorrect because swaddling tightly with legs extended can increase the risk of hip dysplasia. It is important to educate parents on safe sleep practices for newborns.

Correct Answer: A

Rationale: The correct answer is A. When an Rh-negative mother has an Rh-positive infant, there is a risk of sensitization if fetal blood mixes with maternal blood during delivery. Rh(
D) Immune globulin is given to prevent this sensitization by destroying any fetal Rh-positive red blood cells that may have entered the maternal circulation. This prevents the mother from forming antibodies against Rh-positive blood in subsequent pregnancies.



Choices B, C, and D are incorrect because they do not present a risk of sensitization. In choice B, an Rh-positive mother with an Rh-negative infant does not require Rh(
D) Immune globulin. In choice C, an Rh-positive mother with an Rh-positive infant does not require Rh(
D) Immune globulin. In choice D, an Rh-negative mother with an Rh-negative infant does not require Rh(
D) Immune globulin as there is no risk of sensitization in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Notify the provider if the end of the penis appears dark red. This is correct because dark red coloration at the end of the penis could indicate infection or impaired circulation, which are serious complications that need immediate medical attention.
Choice A is incorrect because the plastibell is typically left in place for several days, not removed after 4 hours.
Choice C is incorrect as a snug diaper could cause irritation to the surgical site.
Choice D is incorrect because yellow exudate is a normal part of the healing process and is expected within the first 24 hours post-circumcision.