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 reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.
Correct Answer: C
Rationale: The correct answer is C: Midline episiotomy. A midline episiotomy is a surgical incision made during childbirth that increases the risk of infection due to the proximity to the anus and rectum. The incision site is more prone to contamination from fecal matter, leading to a higher risk of infection. Placenta previa (
B) is a condition where the placenta partially or fully covers the cervix, which can lead to bleeding but not necessarily infection. Meconium-stained amniotic fluid (
A) can indicate fetal distress but does not directly increase the risk of infection. Prolonged labor (
D) can increase the risk of infection due to prolonged exposure to bacteria, but it is not as direct a risk factor as a midline episiotomy.
Question 2 of 5
A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: your contractions will become more intense when walking. False labor, also known as Braxton Hicks contractions, typically do not indicate true labor. Walking can often lessen the intensity of false contractions, distinguishing them from true labor.
Choice B is incorrect because dilation and effacement of the cervix are indicative of true labor.
Choice C, bloody show, is also a sign of true labor.
Choice D is incorrect as false labor contractions are irregular, not temporally regular.
Question 3 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 4 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 5 of 5
A nurse in a woman’s health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)?
Correct Answer: D
Rationale: The correct answer is D: Chlamydia Infection. Chlamydia is a common sexually transmitted infection that can lead to PID if left untreated. The bacteria can ascend from the vagina into the upper reproductive organs, causing inflammation and scarring. This increases the risk of PID. Recurrent Cystitis (
A) is a bladder infection and does not directly increase the risk of PID. Frequent Alcohol Use (
B) and Use of Oral Contraceptives (
C) are not directly linked to PID development.
Therefore, the presence of Chlamydia infection poses the highest risk for developing PID in this scenario.