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 providing discharge teaching to a postpartum client about caring for her five-day-old male newborn at home.
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.
Question 2 of 5
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because positioning the baby's car seat at a 45-degree angle in the car helps prevent the baby's head from flopping forward and potentially obstructing the airway, ensuring optimal safety.
Choice B is incorrect because it doesn't specify the recommended weight limit for rear-facing seats, which is typically until the baby reaches 20-35 pounds.
Choice C is incorrect as the harness should be positioned at or below the baby's shoulders, not above.
Choice D is incorrect because the retainer clip should be positioned at armpit level, not at the top of the baby's abdomen.
Question 3 of 5
A nurse is planning care for a client who is pregnant and has HIV.
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin-to-skin contact. This is important to reduce the risk of HIV transmission from the mother to the newborn. Bathing the newborn before skin-to-skin contact helps remove any potential infectious material present on the baby's skin. This practice is recommended by the CDC to reduce the risk of transmission of HIV from the mother to the baby. It is crucial to prevent direct contact with any bodily fluids that may contain the virus. In contrast, choices A, C, and D are incorrect:
A) Using a fetal scalp electrode can increase the risk of exposure to maternal blood during labor.
C) Stopping antiretroviral medication can lead to increased viral load and transmission risk.
D) Administering pneumococcal immunization is not directly related to preventing HIV transmission.
Question 4 of 5
A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization?
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.
Question 5 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Rationale for Correct Answer C (Ensure the newborn eyes are closed beneath the shield):
- Phototherapy exposes the newborn's skin to light to treat jaundice.
- It's crucial to protect the newborn's eyes from the bright light to prevent damage.
- Closing the eyes beneath the shield helps shield the sensitive eyes from potential harm.
Summary of Incorrect
Choices:
- A: Applying lotion may increase the risk of skin irritation during phototherapy.
- B: Giving glucose water is unrelated to phototherapy and may not be indicated.
- D: Dressing the newborn may hinder the effectiveness of phototherapy as more skin should be exposed to light.