ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. CMV infection during pregnancy can lead to congenital CMV in newborns, causing hearing loss. CMV can affect the inner ear, leading to sensorineural hearing loss. This is a common complication of congenital CMV infection. The other options are not typically associated with congenital CMV infection. Urinary tract infection (
A) is not a common manifestation. Macrosomia (
C) refers to a large birth weight, which is not typically associated with CMV infection. Cataracts (
D) are not a common finding in newborns with congenital CMV infection.
Question 4 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 5 of 5
A nurse is using Niagele9s rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/28
Correct Answer: C
Rationale: The correct answer is C: May 5th.
To calculate the expected delivery date using Naegele's rule, start with the first day of the last menstrual period (July 28th), subtract 3 months, and add 7 days.
Therefore, July 28th - 3 months = April 28th + 7 days = May 5th. This is the estimated due date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation.
Choice B (April 4th) is too early based on the calculation.
Choice D (May 21st) is too late according to Naegele's rule.