ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 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: A displaced uterus to the right above the umbilicus may indicate a full bladder. Assisting the client to empty their bladder helps the uterus return to its proper position and prevents complications like postpartum hemorrhage.
Question 2 of 5
Which of the following is a potential benefit of evidence-based practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: Evidence-based practice can improve outcomes, satisfaction, and reduce costs.
Question 3 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 4 of 5
Which of the following is a potential ethical issue related to neonatal organ donation?
Correct Answer: A
Rationale: Informed consent is a key ethical issue in neonatal organ donation.
Question 5 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: All of the above are professional standards for nursing practice. Safety and quality improvement ensure high standards of care, patient-centered care focuses on individual needs, and leadership promotes effective teamwork and advocacy.