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 of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Platelets 100,000/mm³. This finding indicates thrombocytopenia, which can lead to bleeding disorders in newborns. Reporting this to the provider is crucial for further evaluation and management.
Incorrect options:
A: Blood glucose 58 mg/dL - This value is within the normal range for newborns.
B: Hematocrit 48% - This value is also within the normal range for newborns.
D: Hemoglobin 16 g/dL - This value is within the normal range for newborns.
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Correct Answer: B
Rationale: The correct answer is B: Allow the baby to feed at least every 3 hours. This is important for establishing a good breastfeeding routine and ensuring the baby receives enough nutrition. Feeding every 3 hours helps maintain the baby's hydration and promotes milk production.
Choice A is incorrect because newborns typically need more frequent feedings, about 8-12 times a day.
Choice C is incorrect as newborns should only be offered breast milk or formula, not water.
Choice D is incorrect because newborns should feed until they are satisfied, not limited to a specific time frame.
Question 3 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 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: Action to Take: A, B; Potential Condition: Uterine atony; Parameter to Monitor: Perineum for clots, Amount of bleeding.
Rationale: A helps position the client for the massage. B establishes proper hand placement. C guides the massage technique for uterine stimulation. D is crucial to monitor post-massage for complications.
Incorrect
Choices: The remaining choices do not contribute directly to fundal massage or monitoring postpartum hemorrhage.
Question 5 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: newborn who has nasal flaring. Nasal flaring indicates respiratory distress, which is a critical condition requiring immediate attention to ensure adequate oxygenation. Nasal flaring suggests that the newborn is having difficulty breathing and may lead to hypoxia if not addressed promptly. Assessing and addressing respiratory distress is a priority in newborn care to prevent further complications.
Choices B, C, and D do not pose immediate life-threatening concerns. Subconjunctival hemorrhage and overlapping suture lines are common in newborns and typically resolve on their own. Rust-stained urine may indicate hematuria, which should be monitored but does not require immediate attention compared to respiratory distress.