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 teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Breast Tenderness. Clomiphene citrate is a medication commonly used for infertility treatment. One of its common side effects is breast tenderness due to its estrogenic effects on the body. The medication works by stimulating ovulation, which can lead to increased estrogen levels, resulting in breast tenderness. Tinnitus (
A), urinary frequency (
B), and chills (
D) are not typically associated with clomiphene citrate use in the context of infertility treatment.
Therefore, they are incorrect choices.
Question 2 of 5
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Nails extending over tips of fingers. Post-term newborns have longer nails due to prolonged intrauterine growth. This is an expected finding in post-term infants.
Choice B is incorrect as post-term infants may have less subcutaneous fat due to nutrient depletion.
Choice C is incorrect as post-term infants may have dry, cracked skin rather than translucent.
Choice D is incorrect as post-term infants may have less lanugo hair due to gestational age.
Question 3 of 5
A nurse in a provider’s office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Negele’s rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)
Correct Answer: A
Rationale: The correct answer is A: December 15. Negele's rule estimates the due date by adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding a year. In this case, March 8 + 7 days = March 15. Subtracting 3 months gives us December 15, which is the estimated due date. Other choices are incorrect because they do not follow the correct calculation based on Negele's rule.
Choice B (October 30) is incorrect as it does not account for adding a year and subtracting 3 months.
Choice C (January 15) is incorrect as it only adds 7 days and subtracts 3 months without adding a year.
Choice D (Nov 30) is incorrect as it only adds 7 days to the last menstrual period date without accounting for subtracting 3 months and adding a year.
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?
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 wishes while also providing education on proper newborn care. By demonstrating and allowing the client to practice holding the newborn, the nurse can ensure the baby's safety and promote bonding. Insisting on the mother picking up the newborn (option
A) goes against her wishes and may cause tension. Persuading the client to breastfeed (option
C) may not be suitable if the mother prefers bottle-feeding. Offering to take the newborn to the nursery (option
D) disregards the mother's desire to care for her baby.
Question 5 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.