ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing 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: Answer D is correct because applying steady pressure with a tennis ball to the lower back helps relieve back pain during labor. The tennis ball can target specific pressure points and provide comfort.
Choice A is incorrect as upward pressure on the lower abdomen is not effective for counter pressure.
Choice B is incorrect as pressure between thumb and index finger is unrelated to counter pressure.
Choice C is incorrect as pressure on the top of the uterus can be harmful.
Question 2 of 5
A nurse is assisting with an amniotomy on a client who is in labor. Which of the following situations should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure that the fetal head is engaged. This is crucial before performing an amniotomy to prevent cord prolapse. The engaged fetal head helps maintain a good seal between the presenting part and the cervix, reducing the risk of cord compression. Placing the client in the left lateral position or giving clean gloves to the provider are not directly related to ensuring the fetal head is engaged. Checking the client's temperature every 4 hours after the procedure is important for monitoring maternal well-being but is not directly related to the amniotomy procedure itself.
Question 3 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer a bolus of lactated Ringer. Maternal hypotension post-epidural is commonly due to vasodilation causing a decrease in blood pressure. Fluid bolus helps increase intravascular volume, thus improving blood pressure. Terbutaline is a tocolytic used to stop premature labor, not indicated for hypotension. Positioning in knee-chest is not recommended as it can worsen hypotension by reducing venous return. Applying oxygen via nonrebreather may be beneficial, but fluid resuscitation is the priority in this scenario.
Question 4 of 5
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: This test will determine adequacy of placental perfusion. The non-stress test is used to assess fetal well-being by monitoring fetal heart rate in response to fetal movement. It helps determine if the placenta is providing enough oxygen and nutrients to the fetus. This is crucial in determining the adequacy of placental perfusion and ensuring the baby's health. The other choices are incorrect because:
A) Fetal lung maturity is typically confirmed through other tests like an amniocentesis;
C) Detecting fetal infection would require different diagnostic tests;
D) Predicting maternal readiness for labor is not the purpose of a non-stress test.
Question 5 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Correct Answer: D
Rationale:
Correct Answer: D. The client should have her provider refit her for a new diaphragm. After giving birth, the size and shape of the cervix may change, affecting the fit of the diaphragm. This can impact its effectiveness in preventing pregnancy. It is essential for the client to have her diaphragm refitted to ensure proper contraception.
A: Incorrect. Oil-based vaginal lubricants can damage the diaphragm material.
B: Incorrect. Storing the diaphragm in sterile water is not necessary; it should be cleaned and stored in a cool, dry place.
C: Incorrect. Keeping the diaphragm in place for an extended period can increase the risk of infection.
E, F, G: No additional options provided.