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 teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching.
Correct Answer: C
Rationale: The correct answer is C because checking urine for protein daily is crucial in monitoring preeclampsia. Proteinuria is a key indicator of worsening preeclampsia, and early detection is essential. Option A is incorrect as fetal movement should be monitored daily. Option B is incorrect because alternating arms for blood pressure checks is unnecessary. Option D is incorrect as the recommended protein intake is individualized and typically higher than 50g/day during pregnancy.
Question 2 of 5
A client who is 16 weeks of gestation asks the nurse how to prepare her toddler for a younger sibling.
Correct Answer: B
Rationale: The correct answer is B. Moving the toddler out of the crib 2 weeks before the due date allows the toddler to adjust to the change before the newborn arrives, reducing feelings of displacement or jealousy. Holding the newborn when introducing them may overwhelm the toddler. Placing the toddler in timeout for regressive behavior is not an appropriate or effective way to address their emotions during this transition.
Question 3 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother states 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This option respects the mother's wishes while also providing education on proper newborn care. By demonstrating and allowing the client to practice holding the newborn, the nurse can ensure the baby's safety and promote bonding. Insisting on the mother picking up the newborn (option
A) goes against her wishes and may cause tension. Persuading the client to breastfeed (option
C) may not be suitable if the mother prefers bottle-feeding. Offering to take the newborn to the nursery (option
D) disregards the mother's desire to care for her baby.
Question 4 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Step 1: Client understanding of the medication schedule is crucial for effective contraception.
Step 2:
Choice B indicates the client knows the correct timeframe for the next injection.
Step 3: Returning in 8 weeks ensures continuous contraceptive effect.
Step 4: Other choices lack relevance to medroxyprogesterone IM for contraception.
Summary: Option B is correct as it demonstrates understanding of the medication schedule, while other choices are unrelated to the medication's use for contraception.
Question 5 of 5
A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply a cap to the newborn head. The newborn's respiratory rate, heart rate, and temperature are within normal range for a 1-hour-old infant. However, the temperature is slightly low. Applying a cap to the newborn's head can help prevent heat loss and maintain a stable body temperature. Giving a warm bath (
A) can cause further heat loss. Repositioning the newborn (
C) is not necessary based on the information provided. Obtaining an oxygen saturation level (
D) is not indicated as the vital signs are within normal limits.