ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 1 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: Greenish discharge and pain on urination are consistent with gonorrhea. Diabetes and absence of condom use are risk factors but not direct symptoms.
Extract:
Question 2 of 5
Which of the following is a potential ethical issue related to the use of assisted reproductive technologies in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Using donor gametes raises ethical concerns about genetic connections and family dynamics. Multiple gestation pregnancies increase maternal and fetal health risks. Preimplantation genetic diagnosis may lead to embryo selection based on desired traits, raising ethical questions about eugenics. Thus, all choices contribute to ethical issues in assisted reproductive technologies.
Question 3 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. This is because a uterus palpated to the right above the umbilicus 12 hours post-vaginal birth indicates a full bladder displacing the uterus. Emptying the bladder will help the uterus to return to its normal position and prevent uterine atony or excessive bleeding.
Choice A: Reassessing in 2 hours is not appropriate as immediate intervention is needed.
Choice B: Administering simethicone is not relevant to the situation described.
Choice D: Instructing the client to lie on their right side does not address the underlying issue of a full bladder.
Question 4 of 5
What is the recommended method of feeding for a preterm infant?
Correct Answer: C
Rationale: The recommended method of feeding for a preterm infant is bottle feeding with breast milk (
Choice
C). This method provides the infant with the benefits of breast milk while allowing for precise monitoring of intake. Breast milk is easily digestible, promotes healthy growth, and boosts immunity. Formula feeding (
Choice
B) may not offer the same benefits as breast milk. Breastfeeding (
Choice
A) may be challenging for preterm infants due to their immature suckling reflex. Parenteral nutrition (
Choice
D) is typically reserved for infants who cannot tolerate enteral feeding.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's
medical chart.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 5 of 5
The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and ---------------------------------
Correct Answer: A,B
Rationale: Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer
doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take.Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first.