ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?
Correct Answer: C
Rationale: Requesting a female interpreter through the facility ensures accurate and professional communication, respecting the client's privacy and cultural preferences. Using a child or partner to translate is inappropriate and may lead to misunderstandings.
Question 2 of 5
What is the recommended method of pain relief during labor for a woman who wants to avoid medication and wants to move around freely?
Correct Answer: A
Rationale: Nitrous oxide is a non-invasive pain relief option that allows the woman to move freely during labor.
Question 3 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reporting the client’s HIV status to the local health department is a legal requirement to ensure proper public health tracking and intervention.
Question 4 of 5
Which of the following is a legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, legal issues encompass informed consent, patient confidentiality, and malpractice. Informed consent ensures patients are fully aware of treatment risks and benefits. Patient confidentiality protects sensitive health information. Malpractice refers to negligent or improper care that results in harm. All three are crucial aspects of legal considerations in healthcare to safeguard patient rights and ensure quality care.
Therefore, D is the correct choice.
Question 5 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.