ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. Cholecystitis is a contraindication due to increased risk of gallbladder disease with oral contraceptives. Hypertension is a contraindication as estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are contraindicated due to increased risk of stroke. Human papillomavirus is not a contraindication unless it is causing severe immunosuppression. Other choices are left blank as they are not relevant contraindications to oral contraceptives.
Question 2 of 5
Which of the following is a potential complication of maternal hypertension during pregnancy?
Correct Answer: D
Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.
Question 3 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Collaboration with interdisciplinary team members is crucial in providing comprehensive care. Advocacy for patients and families is essential for ensuring their rights and best interests are upheld. Incorporation of evidence-based practice ensures that nursing care is based on the latest research and best practices. Choosing "All of the above" reflects the comprehensive nature of professional standards in maternal and newborn healthcare, encompassing collaboration, advocacy, and evidence-based practice to provide high-quality care. Other choices are incorrect as they do not capture the full scope of professional standards in this specific context.
Question 4 of 5
What is the recommended method of pain relief for a woman who has a vaginal tear or episiotomy after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a vaginal tear or episiotomy may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen is a pain reliever that can also help manage the discomfort. Ice packs can provide local anesthesia and reduce swelling. Using all three methods together can provide comprehensive pain relief by targeting different aspects of pain and inflammation. Thus, a combination of NSAIDs, acetaminophen, and ice packs is the recommended method for effective pain management in this situation. Other choices are incorrect because using only one method may not address all aspects of pain or inflammation adequately.
Question 5 of 5
A nurse is making an initial postpartum home visit. Which of the following client statements should the nurse identity as a manifestation of Increased risk for child abuse?
Correct Answer: C
Rationale: Expecting a newborn to sleep through the night is unrealistic and may indicate frustration or lack of understanding, which are risk factors for child abuse. Other statements reflect normal parental concerns or support systems.