ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale: The correct answer is D: "Has your back labor improved?" This question is appropriate because the occipitoposterior position often leads to back labor due to the baby's position pressing on the mother's spine. By asking if the back labor has improved, the nurse can assess the effectiveness of the hands-and-knees position in helping relieve pressure on the mother's back.
Choice A: "Does that lessen your suprapubic pain?" is incorrect because the hands-and-knees position is more effective for back pain relief, not suprapubic pain.
Choice B: "Are you feeling relief from your pelvic pressure?" is incorrect because the hands-and-knees position is more effective for addressing back pain, not pelvic pressure.
Choice C: "Do your contractions feel further apart?" is incorrect as the position change is unlikely to affect the timing of contractions significantly.
In summary, the correct question (
Choice
D) directly addresses the main issue associated with occipitoposterior
Question 2 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps to promote healing and reduce discomfort for the client with a fourth-degree perineal laceration. Warmth can increase blood flow to the area, aiding in the healing process. Moisture can also help with wound healing and provide comfort.
Choice B is incorrect as a cool sitz bath may not be suitable for a fourth-degree laceration as it can cause vasoconstriction and slow down the healing process.
Choice C, administering methylergonovine, is not indicated for perineal lacerations.
Choice D, applying povidone-iodine after voiding, can be irritating to the wound and delay healing.
In summary, applying a warm, moist compress is the best option to promote healing and comfort for the client with a fourth-degree perineal laceration.
Question 3 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale:
Correct
Answer: C - Maintain a healthy weight.
Rationale: Maintaining a healthy weight is crucial for fertility as obesity or being underweight can impact fertility. Excess body fat can disrupt hormone levels and ovulation, while being underweight can also affect reproductive function. By suggesting the couple to maintain a healthy weight, the nurse is promoting overall reproductive health.
Summary of other choices:
A: Using a lubricant during intercourse does not address the underlying fertility issues.
B: Drinking herbal tea may not have a direct impact on fertility and lacks scientific evidence.
D: Taking daily hot baths can actually decrease sperm count and affect fertility.
E, F, G: These options are not provided but would likely not be as relevant as maintaining a healthy weight.
Question 4 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). Elevated fasting blood glucose levels during pregnancy can indicate gestational diabetes, which requires immediate attention to prevent complications for both the mother and the baby. The normal range for fasting blood glucose is 74 to 106 mg/dL; a value of 180 mg/dL is significantly elevated. The nurse should report this finding to the provider for further evaluation and management.
Choice A (Hematocrit 37%) falls within the normal range for a pregnant woman.
Choice B (Creatinine 0.9 mg/dL) is within the normal range.
Choice C (WBC count 11,000/mm3) is slightly elevated but not typically concerning during pregnancy. The focus should be on managing the high blood glucose level to ensure the health of the mother and baby.
Question 5 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby’s face with plain water. This instruction is important as newborns have sensitive skin that can easily become irritated by harsh chemicals found in soaps. Washing the baby's face with plain water helps to keep their skin clean without causing any harm.
A: Bathing the baby immediately after a feeding can lead to discomfort and potential regurgitation.
B: Placing a bumper pad in the crib can increase the risk of suffocation or Sudden Infant Death Syndrome (SIDS).
C: Putting a soft mattress in the crib increases the risk of suffocation and poses a potential hazard to the baby's safety.
In summary, choosing option D ensures the safety and well-being of the newborn by providing gentle care for their delicate skin without introducing unnecessary risks or hazards.