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 multiple gestation pregnancy?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Multiple gestation pregnancies are at higher risk for complications like preterm labor, as the uterus may become over-distended leading to early contractions. Gestational diabetes is also common due to the increased demands on the mother's body. Additionally, placenta previa can occur due to the abnormal implantation of the placenta in a multiple gestation pregnancy.
Therefore, all of these complications are potential risks in a multiple gestation pregnancy. Other choices are incorrect as they do not encompass the range of complications associated with multiple gestation pregnancies.
Question 2 of 5
What is the recommended method of screening for gestational diabetes?
Correct Answer: C
Rationale: The correct answer is C: Oral glucose tolerance test. This test involves fasting overnight, then drinking a sugary solution and measuring blood glucose levels at intervals. It is the gold standard for diagnosing gestational diabetes due to its ability to detect glucose intolerance. A: Random blood glucose test is not recommended as it may not provide an accurate assessment. B: Fasting blood glucose test alone may miss cases of gestational diabetes. D: Hemoglobin A1C test is not recommended for diagnosing gestational diabetes.
Question 3 of 5
Which of the following is a potential complication of a placental abruption?
Correct Answer: B
Rationale: The correct answer is B: Fetal distress. Placental abruption is the premature separation of the placenta from the uterus, leading to decreased oxygen and nutrients to the fetus, causing fetal distress. Preterm labor (choice
A) can occur due to placental abruption, but it is not a direct complication. Polyhydramnios (choice
C) is excessive amniotic fluid, which is not typically associated with placental abruption.
Choice D is incorrect as preterm labor and polyhydramnios are not direct complications. Fetal distress is the most immediate and concerning complication of placental abruption due to the compromised blood flow to the fetus.
Question 4 of 5
Which stage of labor is characterized by the delivery of the placenta?
Correct Answer: C
Rationale: The correct answer is C: Third stage. This stage is characterized by the delivery of the placenta. It occurs after the baby is born (second stage) and involves the detachment and expulsion of the placenta from the uterus. The first stage is characterized by cervical dilation and effacement, while the fourth stage is the immediate postpartum period. The second stage is focused on the actual birth of the baby.
Therefore, the delivery of the placenta specifically occurs in the third stage of labor.
Question 5 of 5
What is the recommended method of pain relief during labor for a woman with a low-risk pregnancy?
Correct Answer: C
Rationale: The correct answer is C: Nitrous oxide inhalation. This is recommended for low-risk pregnancies because it provides pain relief without affecting the baby's heart rate or the progress of labor. It is self-administered by the woman, allowing for control over the dosage. Epidural and spinal anesthesia carry potential risks and may interfere with the natural process of labor. Choosing "All of the above" (
D) is incorrect as epidural and spinal anesthesia are not recommended for low-risk pregnancies due to their potential side effects.