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 laboratory results for a newborn 12 hours old. Which of the following is an expected findings.
Correct Answer: A
Rationale: The correct answer is A: Glucose 40mg/dl. In a newborn, low blood glucose levels are expected within the first 24 hours due to the transition from placental glucose supply to independent glucose regulation. A glucose level of 40mg/dl at 12 hours is normal. WBC of 6000, Hemoglobin of 12, and Platelets of 80000 are within normal ranges but are not specific to a 12-hour-old newborn. It is crucial to monitor the glucose levels in newborns to prevent hypoglycemia, which can lead to neurological complications.
Question 2 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 3 of 5
A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure the newborn’s mouth is wide open before latching to the breast. This is important because a proper latch is crucial in preventing sore nipples during breastfeeding. When the newborn's mouth is wide open, it ensures that the nipple is deeply in the baby's mouth, allowing for a more effective and comfortable feeding. This helps prevent nipple trauma and decreases the likelihood of soreness.
Choice A is incorrect because placing a snug dressing on the nipple can further irritate the area and hinder proper healing.
Choice C is incorrect as limiting the feeding time can lead to inadequate milk intake for the baby.
Choice D is incorrect as starting with the most tender nipple can worsen the soreness.
Question 4 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: Contractions last 60 seconds. Prolonged contractions can lead to uterine tachysystole, which can reduce placental perfusion and oxygenation to the fetus. This can result in fetal distress and compromise. Non-repetitive early decelerations (
B) are common and not a reason to discontinue oxytocin. 6 contractions in 10 minutes (
C) is within the normal range. Moderate variability of the fetal heart rate (
D) is a sign of good oxygenation and fetal well-being, indicating that oxytocin can continue.
Question 5 of 5
A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the client with hyperemesis gravidarum and a sodium level of 110 mEq/L first as this indicates severe dehydration and electrolyte imbalance, which can lead to serious complications like seizures and cardiac arrhythmias. Hydration and electrolyte balance are critical for both maternal and fetal well-being.
Choice A is not the priority as a client with diabetes mellitus and an HbA1c of 5.8% is within target range and does not require immediate assessment.
Choice B is not the priority as a creatinine level of 1.1 mg/dL is within normal limits for pregnancy and does not indicate an urgent situation.
Choice D is not the priority as a hematocrit of 36% in a client with placenta previa is not concerning unless there are signs of active bleeding.