ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "This procedure determines if your baby has genetic or congenital disorders." At 12 weeks gestation, amniocentesis is typically performed to assess genetic or chromosomal abnormalities, not to determine the sex of the fetus. This procedure involves analyzing the amniotic fluid for genetic information, providing valuable insights into the baby's health. Option A is incorrect because there is no age requirement for amniocentesis; it is typically based on medical indications. Option C is incorrect as chorionic villus sampling is another prenatal test that is not routinely used to determine fetal sex. Option D is incorrect as scheduling the procedure without proper counseling and informed consent is inappropriate. Remember, the primary purpose of amniocentesis is to assess genetic or chromosomal disorders, not to determine the sex of the fetus.
Question 2 of 5
What is the recommended method of screening for Group B Streptococcus (GBS) during pregnancy?
Correct Answer: B
Rationale: The recommended method for screening for Group B Streptococcus (GBS) during pregnancy is rectovaginal culture. This method involves obtaining swabs from the rectum and vagina to detect the presence of GBS bacteria. This is important because GBS colonization in pregnant women can lead to neonatal infections. Urine culture is not the recommended method for GBS screening during pregnancy, as GBS is typically found in the gastrointestinal and genital tracts, not the urinary tract. Blood tests are not specific for detecting GBS colonization. Nasopharyngeal culture is used to detect respiratory infections, not GBS colonization in pregnant women.
Question 3 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia can lead to respiratory distress in newborns due to inadequate energy supply to respiratory muscles. Hypertonia (
A) is not typically associated with hypoglycemia. Increased feeding (
B) may be a compensatory mechanism for hypoglycemia. Hyperthermia (
C) is not a common manifestation of hypoglycemia. Thus, the presence of respiratory distress (
D) is a key indication of hypoglycemia in a late preterm newborn.
Question 4 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Begin FHR monitoring. This is the priority intervention because it allows the nurse to assess the baby's well-being and detect any signs of fetal distress. Monitoring the fetal heart rate is crucial in determining the baby's response to the water breaking. Performing Nitrazine testing (
A) and assessing the fluid (
B) can provide additional information but do not directly assess fetal well-being. Checking cervical dilation (
C) is important but not as urgent as monitoring the FHR in this situation.
Question 5 of 5
A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Using a car seat during air travel ensures the newborn's safety during takeoff, landing, and turbulence.