ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended method of pain relief for a woman who has a perineal laceration after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a perineal laceration may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen can also provide pain relief without affecting inflammation. Sitz baths can help promote healing and reduce discomfort.
Therefore, using all three methods together can provide comprehensive pain relief and aid in the healing process. Options A, B, and C alone may address specific aspects of pain relief but using all three together offers a more holistic approach to managing postpartum perineal pain.
Question 2 of 5
Which of the following is a potential complication of neonatal hyperbilirubinemia?
Correct Answer: B
Rationale: The correct answer is B: Kernicterus. Neonatal hyperbilirubinemia can lead to kernicterus, a condition characterized by bilirubin accumulation in the brain, causing irreversible neurological damage. Hypoglycemia (choice
A) and respiratory distress syndrome (choice
C) are not direct complications of hyperbilirubinemia.
Choice D, "All of the above," is incorrect as only kernicterus is a potential complication of neonatal hyperbilirubinemia.
Question 3 of 5
What is the recommended method of administering the first dose of hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering the hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Muscle tissue has a rich blood supply which aids in the rapid dissemination of the vaccine components throughout the body. This method also reduces the risk of injection site reactions. Oral administration (
B) is not recommended for the hepatitis B vaccine as it may not provide sufficient immune response.
Topical application (
C) and subcutaneous injection (
D) are not appropriate due to inadequate absorption and immunogenic response.
Question 4 of 5
Which of the following is a potential complication of neonatal respiratory distress syndrome?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal respiratory distress syndrome can lead to complications such as hypoglycemia due to increased metabolic demands, pneumonia due to weakened immune system, and patent ductus arteriosus due to increased pulmonary blood flow. Hypoglycemia, pneumonia, and patent ductus arteriosus are all potential complications associated with neonatal respiratory distress syndrome. The other choices are incorrect as they do not encompass the range of potential complications associated with this condition.
Question 5 of 5
What is the recommended method of administering vitamin K to a newborn who is at risk for bleeding?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. This method ensures rapid and complete absorption, providing immediate protection against bleeding in newborns. Oral administration may be ineffective due to immature gastrointestinal tract.
Topical application may not achieve adequate absorption. Subcutaneous injection may lead to variable absorption rates, delaying the onset of vitamin K's protective effects. Thus, intramuscular injection is the most reliable and recommended method for newborns at risk for bleeding.