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 is 2 days postpartum and wants to continue using her diaphragm for contraception.
Correct Answer: D
Rationale:
Correct Answer: D. The client should have her provider refit her for a new diaphragm. After giving birth, the size and shape of the cervix may change, affecting the fit of the diaphragm. This can impact its effectiveness in preventing pregnancy. It is essential for the client to have her diaphragm refitted to ensure proper contraception.
A: Incorrect. Oil-based vaginal lubricants can damage the diaphragm material.
B: Incorrect. Storing the diaphragm in sterile water is not necessary; it should be cleaned and stored in a cool, dry place.
C: Incorrect. Keeping the diaphragm in place for an extended period can increase the risk of infection.
E, F, G: No additional options provided.
Question 2 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 3 of 5
A nurse is caring for a newborn boy, 6 hours old, whose bedside glucose meter reading is 65 mg/dL. The newborn's mother has Type 2 diabetes mellitus.
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. Newborns of mothers with diabetes are at risk for hypoglycemia due to increased insulin production in response to the mother's high blood glucose levels during pregnancy. Feeding the newborn helps increase blood glucose levels by providing essential nutrients. Administering IV dextrose solution (
A) is not necessary at this time as the glucose level is only slightly low and can be corrected with feeding. Obtaining a blood sample (
B) may delay necessary intervention. Reassessing blood glucose (
C) before feeding may further delay treatment.
Question 4 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1-hour glucose tolerance test. At 24 weeks of pregnancy, it is important to screen for gestational diabetes. The 1-hour glucose tolerance test helps in detecting elevated blood sugar levels. It is a routine test to assess the risk of gestational diabetes.
Choice B: Rubella titer is typically done early in pregnancy to check immunity to rubella and is not necessary at 24 weeks.
Choice C: Group B strep culture is usually done around 35-37 weeks gestation to determine if the mother carries group B strep bacteria, not at 24 weeks.
Choice D: Blood type and Rh testing are important in early pregnancy to determine if the mother is Rh-positive or negative and to assess compatibility with the baby's blood type. This test is not specific to 24 weeks.
Therefore, the 1-hour glucose tolerance test is the most relevant test to conduct at the 24-week prenatal appointment.
Question 5 of 5
The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: Answer D is correct because applying steady pressure with a tennis ball to the lower back helps relieve back pain during labor. The tennis ball can target specific pressure points and provide comfort.
Choice A is incorrect as upward pressure on the lower abdomen is not effective for counter pressure.
Choice B is incorrect as pressure between thumb and index finger is unrelated to counter pressure.
Choice C is incorrect as pressure on the top of the uterus can be harmful.