ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing -Nurselytic

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ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions

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Question 1 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 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 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 4 of 5

A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?

Correct Answer: D

Rationale: The correct answer is D: Consume food served at cool temperatures. This recommendation is appropriate for alleviating nausea and vomiting during early pregnancy because warm or hot foods can trigger these symptoms. Cold foods are often better tolerated and can help reduce nausea.
Choice A is incorrect as avoiding snacks before bedtime may not necessarily help with nausea.
Choice B of eating high-fat snacks before getting out of bed may worsen symptoms.
Choice C of drinking additional liquids with each meal may not address the underlying cause of nausea.

Question 5 of 5

A nurse is caring for a client who has received an epidural during labor. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Position a wedge under the client's left hip. Placing a wedge under the left hip helps to optimize the effectiveness of the epidural by promoting even distribution of the medication, ensuring proper pain management during labor. This position also helps to prevent nerve compression and potential complications.
B: Placing the client in the lithotomy position is not recommended as it can increase the risk of nerve compression and hinder the effectiveness of the epidural.
C: Assisting the client to a knee-chest position is not appropriate for a client with an epidural, as it can cause discomfort and compromise the effectiveness of the medication.
D: Elevating the head of the client's bed to 90% is unrelated to the management of an epidural and does not contribute to optimal pain relief.

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