ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
The nurse continues to care for the client who is at 30 weeks or
gestation. Exhibit1: Vital Signs
1000:
Temperature 37.4° C (99.3° F)
Heart rate 90/min|
Respiratory rate 20/min
Blood pressure 148/94 mm Hg
Oxygen saturation 95% on room air
Exhibit 2
Assessment
1000:
Client is Gravida 1 Para 0 and reports headache, nausea.
vomiting, and right upper abdominal pain.
Client is alert and oriented, appears restless. Client has gained
0.68 kg (1.5 lb) within the last week. Slight facial edema is
present. Heart rate regular and without murmur. Respirations
even, non-labored. Lungs clear to auscultation. Abdomen
gravid. Fundal height measurement 29 cm. 1+ dependent
edema noted bilaterally. Deep tendon reflex (DTR) is 3+
bilaterally.
Applied external fetal heart monitor. No contractions noted.
Fetal heart rate 140/min.
Question 1 of 5
Select the 5 findings that require follow-up by the nurse.
Correct Answer: A,C,D,E,G
Rationale: Administer oxygen
Extract:
A nurse is caring for a 36-hr old Infant
Exhibit 1
Nurses' Notes
24 hr of age:
Newborn is alert and active when awake. Respirations easy and
unlabored. Buccal membranes jaundiced. Newborn nursing
every 2 to 4 hr. Passed meconium stool. Small amount of urine
noted in diaper.
Transcutaneous bilirubin (TcB) 10 mg/dL
36 hr of age:
Newborn sleeping on birthing parent's chest. Birthing parent
reports difficulty keeping newborn awake during feedings.
Nursing every 3 to 5 hr for 10 to 15 min. Buccal membranes and
sclera jaundiced.
TcB at 36 hr 15.5 mg/dL
Question 2 of 5
The nurse is preparing the infant for phototherapy.For each nursing action, click to specify if the action is indicated or contraindicated for the newborn.
| Nursing Action | Indicated | Contraindicated |
|---|---|---|
| Supplement feeding with sterile water. | ||
| Dress in only a diaper. | ||
| Cover newborn's eyes with a shield | ||
| Apply lotion to skin every 4 Mr. | ||
| Breastfeed every 2 to 3 hr. |
Correct Answer:
Rationale: Increase IV fluids for better circulation
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale:
Extract:
A nurse in labor and delivery is caring for a client who is at 30 weeks of
gestation.
Exhibit1
Assessment
1000:
Client is Gravida 1 Para 0 and reports headache, nausea.
vomiting and right upper abdominal pain.
Client is alert and oriented, appears restless. Client has gained
0.68 kg (1.5 lb) within the last week. Slight facial edema is
present. Heart rate regular and without murmur. Respirations
even, non-labored. Lungs clear to auscultation. Abdomen
gravid. Fundal height measurement 29 cm. 1+ dependent
edema noted bilaterally. Deep tendon reflex (DTR) is 3+
bllaterally.
Applied external fetal heart monitor. No contractions noted.
Fetal heart rate 140/min.
Question 4 of 5
Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing -----------------due to-------------------
Correct Answer:
Rationale:
Extract:
A nurse in the emergency department is caring for a 19-year-old client
who is at 18 weeks of gestation.
Exhibit 1
Nurses' Notes
Client presents with reports of nausea and vomiting for the past
several weeks, which has worsened in severity. Client states that
they have been unable to retain even clear fluids for the past 48
hr. Client reports no pain. Client reports a history of migraines
and asthma.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: