ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 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 should be reported to the provider because it indicates thrombocytopenia, which is a low platelet count and can lead to bleeding disorders in newborns. Platelets are essential for blood clotting, so a low count can be concerning.
Choice A (Blood glucose 58 mg/DL) is within the normal range for newborns.
Choice B (Hematocrit 48%) is also within the normal range.
Choice D (Hemoglobin 16 g/DL) is slightly elevated but not a critical finding in a newborn.
Question 2 of 5
A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: A client who is at 32 weeks of gestation and reports seeing floating spots. This client should be assessed first because floating spots in vision could be a sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage. Preeclampsia can lead to severe complications for both the mother and the baby if not promptly addressed. Assessing this client first allows for timely intervention and management of potential preeclampsia.
Other choices are incorrect because:
A: Urinary frequency at 7 weeks of gestation is common and not an urgent issue.
C: Leg cramps at 38 weeks of gestation are often due to normal physiological changes in pregnancy and are not typically a priority.
D: Periodic numbness in fingers at 20 weeks of gestation may be related to carpal tunnel syndrome, a common issue in pregnancy, but it is not as urgent as possible signs of preeclampsia.
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Correct Answer: D - You should have your provider refit you for a new diaphragm.
Rationale: After childbirth, the size and shape of the cervix can change. It is essential to have the diaphragm refitted to ensure proper fit and effectiveness. Using an ill-fitting diaphragm can lead to contraceptive failure. Other Options: A - Oil-based lubricants can damage latex diaphragms. B - Storing in sterile water can cause damage and is not recommended. C - Keeping the diaphragm in place for 4 hours is unnecessary; it should be left in for at least 6 hours post-intercourse.
Question 4 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: A
Rationale: The correct answer is A: 1 hour glucose tolerance test. At 24 weeks, it is crucial to screen for gestational diabetes. This test helps identify if the client's body is processing sugar properly during pregnancy. Rubella titer and Group B strep culture are important tests but not typically done at 24 weeks. Blood type and Rh testing is usually done earlier in pregnancy, around 8-12 weeks. The 1-hour glucose tolerance test is the most relevant test for this stage of prenatal care to monitor the client's glucose levels and ensure the well-being of both the mother and baby.
Question 5 of 5
A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D. Cover the umbilical cord with a sterile saline-saturated towel. This action helps prevent cord compression and protects the cord from drying out, reducing the risk of infection. It also helps maintain blood flow to the fetus.
A: Initiating IV fluids is not the priority in this situation.
B: Performing a vaginal examination could worsen the situation by causing further cord compression.
C: Administering oxygen is important but should not be the first action in this scenario.
In summary, covering the umbilical cord with a sterile saline-saturated towel is crucial to prevent complications and maintain fetal well-being.