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 using Nagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: C
Rationale: The correct answer is C: May 5th. Nagele's rule is to add 7 days to the first day of the last menstrual period (July 28th), then subtract 3 months, and finally add 1 year.
Therefore, July 28th + 7 days = August 4th. Subtracting 3 months gives May 4th. Adding 1 year brings us to May 5th, the expected delivery date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation process.
Choice B (April 4th) is too early based on Nagele's rule.
Choice D (May 21st) is too late as it does not account for subtracting 3 months.
Question 2 of 5
A nurse is assessing a client during her first prenatal visit. The client reports March 20th as her last menstrual period. Use Nagele's rule to calculate the estimated date of delivery.
Correct Answer: B
Rationale: The correct answer is B: 12/27. Nagele's rule is used to estimate the due date by adding 7 days and subtracting 3 months from the first day of the last menstrual period. In this case, March 20 + 7 days = March 27.
Then, subtracting 3 months gives us December 27 as the estimated due date.
Choice A (03/20) is incorrect because it is the same as the last menstrual period date and not applying Nagele's rule.
Choices C (11/27) and D (10/03) are incorrect as they do not follow the correct calculation method.
Question 3 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. CMV infection during pregnancy can lead to congenital CMV in the newborn, affecting the auditory nerve and causing sensorineural hearing loss. This is because the virus can damage the inner ear structures. Urinary tract infection (
A) is not a typical manifestation of congenital CMV. Macrosomia (
C) refers to excessive birth weight, which is not associated with CMV. Cataracts (
D) are not a common finding in newborns with congenital CMV.
Question 4 of 5
A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: The client delivers the newborn. In the second stage of labor, the cervix is fully dilated, and the mother pushes to deliver the baby. This stage ends with the birth of the newborn.
Choice A is incorrect because expelling the placenta occurs in the third stage of labor.
Choice B is incorrect as gradual dilation of the cervix happens in the first stage.
Choice C is incorrect because regular contractions are characteristic of the first stage of labor.
Question 5 of 5
A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Consume food served at cool temperatures. This recommendation is appropriate for alleviating nausea and vomiting during early pregnancy because warm or hot foods can trigger these symptoms. Cold foods are often better tolerated and can help reduce nausea.
Choice A is incorrect as avoiding snacks before bedtime may not necessarily help with nausea.
Choice B of eating high-fat snacks before getting out of bed may worsen symptoms.
Choice C of drinking additional liquids with each meal may not address the underlying cause of nausea.