ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is using Niagele9s 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 a client expected delivery date? 07/28
Correct Answer: C
Rationale: The correct answer is C: May 5th.
To calculate the expected delivery date using Naegele's rule, start with the first day of the last menstrual period (July 28th), subtract 3 months, and add 7 days.
Therefore, July 28th - 3 months = April 28th + 7 days = May 5th. This is the estimated due date.
Choice A (April 21st) is incorrect as it does not follow the correct calculation.
Choice B (April 4th) is too early based on the calculation.
Choice D (May 21st) is too late according to Naegele's rule.
Question 2 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. 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 newborns, causing hearing loss. CMV can affect the inner ear, leading to sensorineural hearing loss. This is a common complication of congenital CMV infection. The other options are not typically associated with congenital CMV infection. Urinary tract infection (
A) is not a common manifestation. Macrosomia (
C) refers to a large birth weight, which is not typically associated with CMV infection. Cataracts (
D) are not a common finding in newborns with congenital CMV infection.
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
Correct Answer: D
Rationale: The correct answer is D because yellow exudate is a normal part of the healing process after a plastibell circumcision. This indicates the body's natural response to the procedure. A: The plastibell is not removed after 4 hours, but it falls off on its own in about 5-8 days. B: Dark red appearance at the end of the penis could be a sign of complications and should be reported immediately. C: The diaper should not be snug to avoid irritation to the surgical site.
Question 4 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Bathe the newborn before initiating skin to skin contact. This is important to minimize the risk of HIV transmission from the mother to the newborn. Bathing the newborn helps to remove any potential blood or body fluids that may contain the virus. Initiating skin to skin contact without bathing the newborn first could increase the risk of transmission.
Choice A is incorrect because using a fetal scalp electrode during labor and delivery is unrelated to preventing HIV transmission.
Choice C is incorrect because instructing the client to stop taking antiretroviral medication at 32 weeks of gestation could harm both the mother and the baby by increasing the risk of HIV transmission.
Choice D is incorrect because administering pneumococcal immunization to the newborn within 4 hours following birth is not directly related to preventing HIV transmission.
In summary, bathing the newborn before initiating skin to skin contact is the most appropriate action to prevent HIV transmission in this scenario.
Question 5 of 5
A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last menstrual.. Use Niagele9s 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: 05/11. Naegele's rule states to add 7 days to the first day of the last menstrual period, then subtract 3 months, and add 1 year. In this case, March 20 + 7 days = March 27. Subtracting 3 months gives us December 27, and adding 1 year gives December 27 of the following year. Since December 27 is 5 months and 11 days away from March 27, the estimated due date is May 11.
Choice B is incorrect as it does not follow Naegele's rule.
Choice C is incorrect as it is one day off from the correct calculation.
Choice D is incorrect as it does not account for the correct number of days and months.