ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A,C
Rationale: The correct answers are A and C. A flaccid uterus indicates poor uterine tone, which can lead to postpartum hemorrhage. Oxytocin is given to enhance uterine contractions and tone, helping prevent excessive bleeding. Excess vaginal bleeding is also an indication for oxytocin administration as it can help control bleeding by promoting uterine contractions.
Choices B, D, and other options are incorrect as they do not directly relate to the need for oxytocin administration in this scenario. Cervical laceration and increased afterbirth cramping may require other interventions, but they do not specifically indicate the need for oxytocin administration to address postpartum bleeding.
Question 2 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a concerning symptom that could indicate a serious condition like preeclampsia, which can be life-threatening for both the mother and the baby. Headaches that are severe and persistent, especially when accompanied by other symptoms like visual disturbances and high blood pressure, should be reported promptly.
Shortness of breath when climbing stairs (
A) is common in late pregnancy due to the growing uterus pressing on the diaphragm. Swelling of feet and ankles (
B) is also common in pregnancy and usually not a cause for concern unless it is sudden, severe, or accompanied by other symptoms. Braxton Hicks contractions (
D) are normal practice contractions that do not indicate labor unless they become regular and intense.
Question 3 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale:
1. Staff wearing photo ID badges ensures proper identification for security.
2. Visual verification protects against unauthorized individuals caring for the baby.
3. ID badges indicate staff members have been vetted and authorized to care for newborns.
4. Promotes safety by ensuring only qualified individuals handle the baby.
Summary:
A: Carrying the baby to the nursery poses security risks and disrupts mother-infant bonding.
B: Documenting visitor relationships is important but does not directly address newborn security.
C: Co-sleeping with the baby in the hospital increases the risk of accidental suffocation.
D: Correct choice, as it directly addresses security and safety measures for the newborn.
E:
F:
G:
Question 4 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate a serious condition like preeclampsia, which is characterized by hypertension and proteinuria and poses a risk to both the mother and baby. Swelling of the face is a significant sign that warrants immediate reporting to the provider for further evaluation and management. Varicose veins in the calves (
B) and nonpitting 1+ ankle edema (
C) are common in pregnancy and usually not concerning at this stage. Hyperpigmentation of the cheeks (
D) is also a common finding known as melasma and does not require immediate reporting.
Question 5 of 5
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns, the lack of muscle tone results in minimal arm recoil, which is a characteristic finding in the New Ballard Score for assessing gestational age. This is due to the immaturity of the neuromuscular system in premature infants.
Choice B, popliteal angle of 90°, is incorrect as flexion of the hips and knees is more common in preterm infants.
Choice C, creases over the entire foot sole, is incorrect as full development of foot sole creases is seen in term infants.
Choice D, raised areolas with 3 to 4 mm buds, is incorrect as these are signs of breast development and are not specific to gestational age assessment.