ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is to massage the client's fundus first. This helps to stimulate uterine contractions and control excessive bleeding, preventing postpartum hemorrhage. Massaging the fundus promotes the expulsion of clots and helps the uterus contract, decreasing the risk of further bleeding. Administering oxytocin (choice
B) can be done after fundal massage to enhance uterine contractions. Emptying the client's bladder (choice
C) can also aid in reducing uterine atony but is not the priority in this situation. Providing oxygen (choice
D) is not directly related to controlling postpartum bleeding.
Question 2 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial in preventing compression and desiccation of the umbilical cord, which could lead to decreased blood flow and oxygen delivery to the fetus. By covering the cord, the nurse can protect it from further damage while waiting for emergency intervention. Performing a vaginal examination (choice
A) could worsen the situation by causing more pressure on the cord. Administering oxygen (choice
C) may be important later but is not the immediate priority. Initiating IV fluids (choice
D) is not the most urgent action in this scenario.
Question 3 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome (NAS) occurs in newborns exposed to addictive substances in utero. The newborn may exhibit symptoms such as excessive crying due to neurologic irritability. Diminished deep tendon reflexes (
A) are not typically associated with NAS. Decreased muscle tone (
C) is not a common finding in NAS; infants may actually have increased muscle tone. An absent Moro reflex (
D) is not a typical finding in NAS, as hyperreflexia is more common.
Question 4 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is important because the lateral side of the finger has fewer nerve endings, which can reduce pain for the client. Puncturing the finger while still damp with antiseptic solution (choice
A) can dilute the blood sample and affect the accuracy of the test. Smearing the blood onto the reagent strip (choice
B) can lead to incorrect results due to inadequate blood volume or improper application. Holding the finger above the heart prior to puncture (choice
C) can increase blood flow and may result in a higher blood glucose reading.
Therefore, selecting the lateral side of the finger for puncture is the most appropriate action to ensure accurate and less painful blood glucose monitoring.
Question 5 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. This is expected in postterm newborns due to prolonged intrauterine growth. The nails continue to grow in utero, leading to longer nails at birth. Large deposits of subcutaneous fat (option
A) are typically seen in term newborns, not postterm. Thin covering of fine hair on shoulders and back (option
B) is known as lanugo, which is more common in premature infants. Pale, translucent skin (option
D) is also more common in premature infants due to decreased subcutaneous fat.
Therefore, the correct answer is C, nails extending over tips of fingers, as it is a characteristic finding in postterm newborns.