ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which of the following is a potential complication of a vaginal delivery?
Correct Answer: A
Rationale: The correct answer is A: Shoulder dystocia. This is a potential complication of vaginal delivery where the baby's shoulder gets stuck behind the mother's pubic bone. It can lead to serious complications for both the mother and the baby, such as brachial plexus injury or fetal hypoxia. Shoulder dystocia requires immediate intervention to prevent harm. Placenta previa (
B) and umbilical cord prolapse (
C) are complications related to the placenta and umbilical cord, not the delivery process itself. Cephalopelvic disproportion (
D) refers to the mismatch between the size of the baby's head and the mother's pelvis, which may lead to difficulties in labor but is not a direct complication of vaginal delivery.
Question 2 of 5
What is the recommended method of contraception for a woman who is breastfeeding?
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are recommended for breastfeeding women as they do not affect milk supply. These pills are safe to use during lactation and have minimal impact on the infant. Combined oral contraceptives (
A) are not recommended due to potential negative effects on milk supply. Depo-Provera injection (
B) may also decrease milk supply. Copper IUD (
C) is generally safe but may cause heavier periods. Progestin-only pills (
D) are the most suitable option for breastfeeding women due to their minimal impact on milk production and infant health.
Question 3 of 5
Which of the following is a potential complication of a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Postpartum hemorrhage can occur due to surgical trauma, infection can develop at the incision site, and deep vein thrombosis (DVT) can result from immobility post-surgery. Choosing A, B, or C alone would be incorrect as cesarean delivery carries risks of all these complications. Selecting E, F, or G is incorrect due to lack of relevance to cesarean delivery complications.
Question 4 of 5
What is the primary intervention for postpartum hemorrhage?
Correct Answer: A
Rationale: The correct answer is A: Oxytocin infusion. Oxytocin is the first-line medication for postpartum hemorrhage as it helps to contract the uterus, reducing bleeding. It stimulates uterine contractions, which helps to control bleeding by compressing blood vessels. Methylergonovine (
B) is contraindicated in hypertensive disorders, Misoprostol (
C) is an alternative if oxytocin is not available, and Blood transfusion (
D) is a supportive measure after the bleeding is controlled.
Question 5 of 5
What is the recommended age for the first hepatitis B vaccine for a newborn?
Correct Answer: B
Rationale: The correct answer is B: Within 48 hours of birth. This is recommended because newborns are most susceptible to hepatitis B infection during delivery. Administering the vaccine within 48 hours provides early protection.
Choice A (At birth) is not specific enough and may delay vaccination.
Choices C and D are too late and leave the newborn vulnerable for a longer period.