ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
Correct Answer: D
Rationale: The correct answer is D because yellow exudate is a normal part of the healing process after a plastibell circumcision. This indicates the body's natural response to the procedure. A: The plastibell is not removed after 4 hours, but it falls off on its own in about 5-8 days. B: Dark red appearance at the end of the penis could be a sign of complications and should be reported immediately. C: The diaper should not be snug to avoid irritation to the surgical site.
Question 2 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 3 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:
Correct Answer: D
Rationale:
1. Counter pressure helps alleviate back pain during labor.
2. Applying steady pressure with a tennis ball to the lower back can help relieve discomfort.
3. This technique is effective for providing relief during contractions.
4. The pressure on the lower back helps to release tension and promote relaxation.
Summary:
A: Incorrect - Upward pressure on lower abdomen is not effective for back pain relief.
B: Incorrect - Pressure between thumb and index finger is unrelated to counter pressure.
C: Incorrect - Pressure to top of uterus is not effective for back pain relief.
D: Correct - Steady pressure with a tennis ball on lower back is effective for back pain relief.
Question 4 of 5
A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps)
Correct Answer: A,B,C,D
Rationale:
Step 1 (
A): Asking the client to lie on her back with knees flexed allows for proper access to the fundus and facilitates the massage.
Step 2 (
B): Positioning one hand around the top of the client's uterus and the other just above the symphysis pubis helps in locating and stabilizing the fundus.
Step 3 (
C): Rotating the upper hand to massage the uterus while applying slight downward pressure helps in stimulating contractions and reducing uterine atony.
Step 4 (
D): Observing the client's perineum for clots and bleeding is important to assess postpartum hemorrhage.
Summary:
Choice E, F, and G are incorrect as they do not provide essential steps for performing a fundal massage. E: There is no action step here. F and G: These steps are not necessary before the primary steps of fundal massage.
Question 5 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 is the best choice because it empowers the mother by providing education on proper newborn handling while respecting her decision not to pick up the baby at that moment. By demonstrating and allowing the client to practice, the nurse promotes learning and confidence-building for the mother.
Choice A is incorrect because insisting on the mother picking up the newborn can be seen as disrespectful and may not address the underlying issue of the mother's concern for the baby's tiredness.
Choice C is incorrect as it does not address the immediate situation of the newborn's need for feeding and the mother's preference not to hold the baby.
Choice D is not appropriate as the mother may want to be involved in feeding her baby.