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 labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: B
Rationale: The correct answer is B: Active phase. At 9 cm dilation, the client is in the active phase of the first stage of labor. During this phase, contractions are strong and frequent, with the cervix dilating from 6 to 10 cm. The client may experience rectal pressure due to the baby descending. In the passive descent phase (choice
A), the cervix is not fully dilated. Early phase (choice
C) is typically from 0 to 6 cm dilation. Descent (choice
D) is not a specific phase of labor. Other choices are not applicable in this context.
Question 2 of 5
A nurse in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment (
A) is important to assess for any underlying issues. Vaginal discharge (
B) could indicate infection. Temperature (
D) may suggest infection or illness. Dyspareunia (E) could indicate underlying gynecological issues. Condom usage (F) is important for assessing sexual activity and risk. Heart rate (
C) is a normal vital sign and doesn't necessarily require immediate reporting.
Question 3 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will eliminate products that contain dairy from my diet." This is because hyperemesis gravidarum is a condition characterized by severe nausea and vomiting during pregnancy. Dairy products can be harder to digest and may exacerbate nausea. By eliminating dairy, the client can reduce the likelihood of triggering nausea and vomiting.
A: "I will eat foods that taste good instead of balancing my meals." - This statement does not address the dietary changes needed for hyperemesis gravidarum.
B: "I will avoid having a snack before I go to bed each night." - While avoiding snacks before bedtime can be a good practice for some, it does not specifically address the dietary needs of hyperemesis gravidarum.
C: "I will have a cup of hot tea with each meal." - Hot tea may not necessarily help with managing hyperemesis gravidarum symptoms and does not address the need for dietary modifications.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Tell the client they will start medication for HIV immediately after delivery. This is because starting HIV medication immediately after delivery helps prevent vertical transmission of the virus to the baby. Administering penicillin G (choice
A) is not indicated for HIV treatment. Instructing the client to schedule an annual pelvic examination (choice
B) is important but not the priority in this case. Reporting the client's condition to the local health department (choice
D) may be necessary for public health surveillance, but it is not the immediate action required for the client's care in this situation.
Question 5 of 5
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. Frequent vomiting with weight loss of 3 lb in 1 week is concerning during the first trimester as it may indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and malnutrition, posing risks to both the mother and the fetus. The nurse should report this finding to the provider for further evaluation and intervention.
Incorrect choices:
B: Reports of mood swings are common during pregnancy due to hormonal changes and are not typically a cause for concern at 10 weeks of gestation.
C: Nosebleeds are common in pregnancy due to increased blood volume and hormonal changes and are usually not serious unless severe or frequent.
D: Increased vaginal discharge is a normal pregnancy symptom caused by hormonal changes and increased blood flow to the pelvic area.