ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale:
1. Counter pressure helps alleviate back pain during labor.
2. Applying steady pressure with a tennis ball to the lower back can help relieve discomfort.
3. This technique is effective for providing relief during contractions.
4. The pressure on the lower back helps to release tension and promote relaxation.
Summary:
A: Incorrect - Upward pressure on lower abdomen is not effective for back pain relief.
B: Incorrect - Pressure between thumb and index finger is unrelated to counter pressure.
C: Incorrect - Pressure to top of uterus is not effective for back pain relief.
D: Correct - Steady pressure with a tennis ball on lower back is effective for back pain relief.
Question 2 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 3 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:
Step 1 (
A): Asking the client to lie on her back with knees flexed allows for proper access to the fundus and facilitates the massage.
Step 2 (
B): Positioning one hand around the top of the client's uterus and the other just above the symphysis pubis helps in locating and stabilizing the fundus.
Step 3 (
C): Rotating the upper hand to massage the uterus while applying slight downward pressure helps in stimulating contractions and reducing uterine atony.
Step 4 (
D): Observing the client's perineum for clots and bleeding is important to assess postpartum hemorrhage.
Summary:
Choice E, F, and G are incorrect as they do not provide essential steps for performing a fundal massage. E: There is no action step here. F and G: These steps are not necessary before the primary steps of fundal massage.
Question 4 of 5
A nurse is assessing a full-term newborn arm admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Single Palmar creases - Down syndrome. A single palmar crease, also known as a simian crease, is a physical characteristic often seen in individuals with Down syndrome. The presence of a single palmar crease should be reported to the provider for further evaluation and possible confirmation of a Down syndrome diagnosis. Transient circumoral cyanosis (choice
A) is common in newborns and usually resolves on its own. Subconjunctival hemorrhage (choice
C) and rust stain urine (choice
D) are also common findings in newborns and do not typically require immediate provider notification.
Question 5 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure the newborn's eyes are closed beneath the shield. During phototherapy, the newborn's eyes must be protected from the light to prevent damage. Placing a shield over the eyes helps to minimize exposure.
Choice A is incorrect because lotions can interfere with the effectiveness of phototherapy.
Choice B is incorrect as clothing can also block the light needed for therapy.
Choice D is incorrect as giving glucose water is not necessary for phototherapy and may not be appropriate for a newborn.