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 answer is A: Massage the client's fundus. This is the priority action because excessive vaginal bleeding postpartum could indicate uterine atony, which is a common cause of postpartum hemorrhage. Massaging the fundus helps to stimulate uterine contractions, which can help control bleeding. By massaging the fundus, the nurse can potentially prevent further blood loss and stabilize the client's condition. Administering oxytocin (choice
B) can also help with uterine contractions but massaging the fundus should be the initial action. Emptying the client's bladder (choice
C) can help with fundal displacement but may not address the bleeding. Providing oxygen (choice
D) is important but addressing the bleeding takes precedence in this situation.
Question 2 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.
Rationale: Sore nipples in breastfeeding can be caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues, such as shallow latch or incorrect positioning, which can alleviate the discomfort for the mother. This action promotes effective breastfeeding and prevents further nipple soreness.
Incorrect
Choices:
A: Instructing the client to wait 4 hr between daytime feedings is not appropriate as it can lead to engorgement and decrease milk supply.
C: Having the client limit breastfeeding to 5 min per breast can hinder milk production and may not address the underlying latch issue causing sore nipples.
D: Offering supplemental formula is not necessary and can interfere with establishing breastfeeding and milk supply.
Question 3 of 5
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. This is recommended for pain relief during labor in high-risk pregnancies as it provides effective pain relief while allowing the woman to remain alert and participate in labor. Epidural anesthesia can be adjusted as needed and does not affect the baby's heart rate. Spinal anesthesia is typically used for cesarean sections and may not be ideal for labor pain management. Intravenous opioids can cross the placenta and affect the baby's breathing and heart rate.
Choice D is incorrect because not all methods are recommended for high-risk pregnancies.
Question 4 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: C
Rationale: The correct answer is C: Tell the client they will start medication for HIV immediately after delivery. At 22 weeks of gestation, the main concern is preventing vertical transmission of HIV to the fetus. Starting HIV medication immediately after delivery is crucial to reduce the risk of transmission to the baby. Administering penicillin G (choice
A) is not indicated for an HIV positive client, as it does not treat HIV. Instructing the client to schedule an annual pelvic examination (choice
B) is not a priority in this case. Reporting the client's condition to the local health department (choice
D) is not necessary at this point.
Question 5 of 5
Which of the following is a potential cause of male infertility?
Correct Answer: D
Rationale: The correct answer is D - All of the above. Varicocele, Cryptorchidism, and Testicular cancer are all potential causes of male infertility. Varicocele is an abnormal enlargement of the veins within the scrotum, which can lead to reduced sperm quality. Cryptorchidism is a condition where one or both testicles fail to descend into the scrotum, affecting sperm production. Testicular cancer can also impact fertility by affecting the function of the testes.
Therefore, all three conditions can contribute to male infertility.
Choices A, B, and C are incorrect because each of them individually can cause male infertility, making D the most comprehensive and correct answer.