ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, which commonly presents with symptoms like flank pain. This pain is typically described as a dull ache in the lower back or sides. Other options are incorrect because:
A) Epigastric discomfort is more indicative of gastrointestinal issues;
C) A temperature of 37.7°C (99.8°F) is within normal range and not specific to pyelonephritis;
D) Abdominal cramping is more likely related to gastrointestinal or uterine issues in pregnancy.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale:
Correct
Answer: D: Notify the provider if the end of your baby’s penis appears dark red.
Rationale: Dark red color at the end of the baby's penis could indicate infection or poor circulation, which are concerning post-circumcision. Promptly notifying the provider can help prevent potential complications.
Summary of other choices:
A: The Plastibell is usually removed after a few days, not 4 hours.
B: Ensuring a snug diaper is not directly related to the Plastibell circumcision technique.
C: Yellow exudate at the surgical site is normal and expected, not a cause for concern.
E, F, G: Not provided in the question, so not applicable.
Question 3 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This is correct because tubal ligation does not affect ovulation; it only prevents the released egg from traveling through the fallopian tube to the uterus. The other choices are incorrect because: A: Premenstrual tension can still occur. B: Menstrual period length is not affected by tubal ligation. C: Hormone replacements are not typically needed after tubal ligation unless there are other medical reasons.
Question 4 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication used to help contract the uterus and control postpartum hemorrhage caused by uterine atony. It helps stimulate uterine contractions and reduce bleeding. Administering betamethasone (choice
A) is not indicated for uterine atony and postpartum hemorrhage. Avoiding sterile vaginal examinations (choice
B) does not address the underlying issue of uterine atony. Obtaining a specimen for a Kleihauer-Betke test (choice
D) is used to assess the amount of fetal-maternal hemorrhage and is not an immediate intervention for uterine atony.
Question 5 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule calculates the estimated date of delivery by adding 7 days to the first day of the last menstrual period, then subtracting 3 months, and finally adding 1 year. In this case, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17, which is the estimated date of delivery.
Choice A (May 13) is too early as it doesn't account for the full gestational period.
Choice C (May 3) is also too early, and choice D (May 20) is too late based on the calculation.