ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: Abdominal cramping in early pregnancy can be a sign of a miscarriage or ectopic pregnancy, both of which require immediate evaluation and intervention.
Question 2 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: Epigastric pain in a pregnant client can be a sign of preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical attention.
Question 3 of 5
Which of the following is a potential complication of placenta previa?
Correct Answer: C
Rationale: Placenta previa can lead to placental abruption, a serious condition where the placenta detaches from the uterine wall prematurely.
Question 4 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal hypoxia. Administering oxygen improves oxygen saturation in the mother's blood, increasing oxygen delivery to the fetus. This can help improve fetal oxygenation and reduce the risk of fetal distress. In contrast, option A could increase intra-abdominal pressure, worsening fetal oxygenation. Option C may further compromise blood flow to the fetus. Option D is used in cases of low amniotic fluid levels, not for late decelerations.
Question 5 of 5
Which hormone is responsible for stimulating milk production in the breasts?
Correct Answer: C
Rationale: The correct answer is C: Prolactin. Prolactin is the hormone responsible for stimulating milk production in the breasts. It is produced by the pituitary gland and its primary function is to promote lactation. Progesterone and estrogen are reproductive hormones that play a role in the menstrual cycle and pregnancy but are not directly responsible for milk production. Oxytocin is responsible for the ejection of milk from the breasts during breastfeeding, not for milk production itself.
Therefore, the correct choice is prolactin as it specifically targets breast tissue to stimulate milk production.