ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B because cytomegalovirus can be transmitted through bodily fluids like saliva and urine. This is important for the nurses to understand as they care for newborns who may be infected. The other choices are incorrect because:
A) Acyclovir is used for herpes simplex virus, not cytomegalovirus,
C) Lesions are not typically visible with cytomegalovirus,
D) Airborne precautions are not required for cytomegalovirus, and the other choices are not provided.
Question 2 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils contain around 15.6 grams of fiber per cup, making them an excellent choice to alleviate constipation. Oatmeal, cabbage, and asparagus have lower fiber content per cup compared to lentils. Oatmeal contains around 4 grams of fiber per cup, cabbage has about 2.2 grams, and asparagus has approximately 2.8 grams.
Therefore, lentils are the best choice for increasing fiber intake to help with constipation during pregnancy.
Question 3 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. Breastfeeding newborns frequently helps establish milk supply and ensures the baby receives enough nutrients. Waiting longer than 3 hours between feeds may lead to issues like dehydration or poor weight gain.
Choice A is too time-specific and may not allow the baby to feed adequately.
Choice B is incorrect as newborns should only be fed breastmilk, not water.
Choice C is too vague and may not reflect adequate feeding.
Question 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vegans often have difficulty obtaining enough vitamin B12, which is primarily found in animal products. Fortified soy milk is a good source of vitamin B12 for vegans. Raw carrots (
B), fresh citrus fruits (
C), and brown rice (
D) do not contain significant amounts of vitamin B12. Raw carrots and fresh citrus fruits are good sources of vitamin C, while brown rice is a source of carbohydrates and fiber.
Question 5 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial because obtaining informed consent ensures that the client understands the risks, benefits, and alternatives of the procedure. It also respects the client's autonomy and right to make decisions about their care.
A: Allowing the medication to reach room temperature is not necessary for the administration of dinoprostone insert.
B: Placing the client in a semi-Fowler's position after administration is not a standard practice for dinoprostone insert.
C: Instructing the client to avoid urinary elimination is not necessary and could potentially harm the client by causing urinary retention.
Summary: The correct action is to ensure informed consent is obtained, as it is a fundamental ethical and legal requirement in healthcare.