ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 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 5 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.