ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. A nuchal cord is when the umbilical cord is wrapped around the baby's neck at birth. This can cause pressure on the baby's face, leading to small red or purple spots called petechiae. This is due to burst blood vessels from the pressure. Telangiectatic nevi (choice
A) are unrelated birthmarks. Periauricular papillomas (choice
C) are benign skin growths that are not associated with nuchal cords. Erythema toxicum (choice
D) is a common benign rash in newborns, not specifically linked to nuchal cords.
Question 2 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate an increased risk for Down Syndrome. It is important to report this to the provider for further evaluation. Single palmar creases are less common and can be a marker for chromosomal abnormalities.
B: Down Syndrome is not a clinical finding but a diagnosis.
C: Rust-stained urine is not typically concerning in a newborn and may be due to uric acid crystals.
D: Transient circumoral cyanosis is common in newborns and usually resolves on its own.
E: Subconjunctival hemorrhage can occur during the birthing process and is usually benign.
Question 3 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is expected in a client with endometritis. A: A slightly elevated temperature may be present, but it is not specific to endometritis. B: A normal WBC count does not rule out endometritis. D: Scant lochia is not a characteristic finding in endometritis. Other answer choices are not provided, but uterine tenderness is the most relevant symptom in this scenario.
Question 4 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The nurse assessed the client to be 80% effaced and 8 cm dilated, indicating she is in active labor. This client is at risk for postpartum hemorrhage, which is excessive bleeding after childbirth due to the uterus not contracting adequately to control bleeding. The risk is higher in clients who have a rapid labor progression like this client. Ectopic pregnancy (
A) is not relevant in this scenario as the client is already in labor. Hyperemesis gravidarum (
B) is severe nausea and vomiting during pregnancy, not related to the client's current condition. Incompetent cervix (
C) is the premature dilation of the cervix, not applicable at this stage of labor.
Question 5 of 5
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the client in pulling their knees toward their abdomen. In shoulder dystocia, the baby's shoulder is stuck behind the mother's pubic bone. The McRoberts maneuver involves hyperflexing the mother's legs towards her abdomen to enlarge the pelvic outlet, which can help dislodge the shoulder and facilitate delivery. This action can help create more space for the baby to maneuver and be born. Applying pressure to the fundus (
A) does not address the mechanical issue of shoulder dystocia. Pressing on the suprapubic area (
B) may not provide the necessary space for the baby to be delivered. Moving the client onto their hands and knees (
C) may not be as effective as the McRoberts maneuver in this situation.