ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct

Extract:

Question 1 of 5

A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?

A. your contraction will become more intense when walking B. you will have dilation and effacement of the cervix C. You will have bloody show D. Your contraction will become temporally regular

Correct Answer: A

Rationale: The correct answer is A: your contractions will become more intense when walking. This is because false labor contractions typically decrease in intensity or stop completely when the individual changes positions or engages in physical activity. This is a key characteristic that helps differentiate false labor from true labor.

Choices B, C, and D are incorrect as they are more indicative of true labor, where there is cervical dilation, effacement, bloody show, and regular contractions. It is important for the nurse to emphasize this distinction to ensure pregnant individuals can recognize the signs of true labor and seek appropriate care.

Question 2 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?

A. Place a snug dressing on the client’s nipple when not breastfeeding B. Ensure the newborn’s mouth is wide open before latching to the breast C. Encourage the client to limit the newborn’s feeding to 10 min on each breast D. Instruct the client to begin the feeding with the nipple that is most tender

Correct Answer: B

Rationale: The correct answer is B: Ensure the newborn’s mouth is wide open before latching to the breast. This is the correct action to take to address sore nipples from breastfeeding. Ensuring a wide latch helps the baby to properly attach to the breast, reducing the pressure on the nipple and preventing further damage. A snug dressing (Option
A) can worsen the condition by obstructing airflow and promoting moisture. Limiting feeding time (Option
C) can lead to inadequate milk supply or poor weight gain. Starting with the most tender nipple (Option
D) can prolong healing.

Question 3 of 5

A client who is 16 weeks of gestation asks the nurse how to prepare her toddler for a younger sibling.

A. You should hold your newborn in your arms when you introduce him to your toddler B. You should move your toddler out of her crib 2 weeks prior to your due date C. You should place your toddler in timeout if she exhibits regressive Behavior after the baby is born D. You should place your toddler in timeout if she exhibits regressive behavior after the baby is born

Correct Answer: B

Rationale: The correct answer is B because moving the toddler out of the crib before the baby arrives allows the toddler time to adjust to the change without associating it directly with the baby's arrival. Holding the newborn in your arms (
A) may make the toddler feel left out. Placing the toddler in timeout (C,
D) for regressive behavior can create negative associations with the new sibling.

Question 4 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?

A. Insist that the mother pick up the newborn to feed him B. Demonstrate how to hold a newborn and allow the client to practice C. Persuade the client to breastfeed the newborn to promote bonding D. Offer to take the newborn to the nursery to finish his feeding

Correct Answer: B

Rationale: The correct answer is B: Demonstrate how to hold a newborn and allow the client to practice. This option respects the mother's decision while also providing education and support. By demonstrating proper newborn holding techniques and allowing the client to practice, the nurse can ensure the baby's safety and promote bonding between the mother and newborn. Insisting on the mother picking up the newborn (choice
A) goes against her wishes and may create tension. Persuading the client to breastfeed (choice
C) may not be feasible or appropriate at that moment. Taking the newborn to the nursery (choice
D) may not align with the mother's preferences.

Question 5 of 5

A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?

A. Fasting blood glucose 75 mg/dL B. Blood pressure 88/58 mmHg C. Urinary output 40 mL/hr D. FHR 120/min

Correct Answer: B

Rationale:
Correct
Answer: B (Blood pressure 88/58 mmHg)

Rationale: Terbutaline is a tocolytic medication used to inhibit preterm labor contractions by relaxing uterine smooth muscle. A low blood pressure of 88/58 mmHg indicates hypotension, a potential side effect of terbutaline. Hypotension can lead to decreased perfusion to the fetus and maternal organs, warranting withholding the medication and notifying the provider for further evaluation and management.

Summary of Incorrect

Choices:
A: Fasting blood glucose 75 mg/dL - Normal blood glucose level, not a concerning finding related to terbutaline administration.
C: Urinary output 40 mL/hr - Normal urinary output, not a concerning finding related to terbutaline administration.
D: FHR 120/min - Normal fetal heart rate, not a concerning finding related to terbutaline administration.

ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing -Nurselytic

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