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 nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: D
Rationale:
Correct Answer: D - 1 cup cooked broccoli
Rationale: Broccoli is a good source of calcium, with around 43 mg per cup. This is higher than the other options listed. Avocado, banana, and potato are not significant sources of calcium.
Therefore, broccoli is the best choice to ensure adequate calcium intake for a vegan pregnant client.
Summary:
A: Avocado is not a high source of calcium.
B: Banana is not a high source of calcium.
C: Potato is not a high source of calcium.
D: Broccoli has the highest amount of calcium among the options provided.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique.
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.
Question 3 of 5
A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Cover the umbilical cord with sterile saline saturated towel. This action is essential to prevent compression and protect the exposed cord from infection. By covering the umbilical cord with a sterile saline-saturated towel, the nurse can maintain the cord's moisture and integrity, reducing the risk of cord compression and infection. This step is crucial in managing a prolapsed umbilical cord until emergency interventions can be performed.
Summary:
A: Initiating IV fluids is not the priority in this situation as the immediate concern is to protect the umbilical cord.
B: Performing a vaginal examination by applying upward pressure can further compress the cord and worsen the fetal distress.
C: Administering oxygen is important but is not the immediate priority compared to protecting the umbilical cord.
E, F, G: Not applicable.
Question 4 of 5
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Swaddle the newborn in a flexed position. This is important for newborns with neonatal abstinence syndrome to provide comfort and security, mimicking the womb environment. Swaddling helps reduce excessive movement and agitation, promoting better sleep and soothing the newborn. Option A is incorrect as increased visual stimulation can overwhelm the newborn. Option B is incorrect as daily weighing is recommended to monitor for weight fluctuations. Option C is incorrect as parental interaction is crucial for bonding and emotional development.
Question 5 of 5
A nurse is caring for four antepartum clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client at 32 weeks of gestation reporting floating spots first because this symptom could indicate a serious condition called preeclampsia, characterized by high blood pressure and protein in the urine. This condition can be life-threatening for both the mother and baby if not managed promptly. Assessing this client first allows for early detection and intervention, reducing the risk of complications.
Choices A, C, and D present symptoms that are common in pregnancy but do not indicate immediate danger. Urinary frequency in early pregnancy (
A), leg cramps in late pregnancy (
C), and periodic numbness in fingers (
D) are typically benign and can be managed with routine interventions. Prioritizing the client with potential signs of preeclampsia (
B) ensures the safety and well-being of both the client and the baby.