ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining commonly occurring postpartum. Uterine tenderness is a classic sign, indicating inflammation and infection in the uterus. This can be assessed by palpating the uterus gently.
A: Temperature 37.4°C (99.3°F) - Slightly elevated temperature is common in postpartum period, but a higher fever is more indicative of infection.
B: WBC count 9,000/mm3 - Normal WBC count does not rule out infection, as localized infections like endometritis may not cause a significant rise in WBC count.
D: Scant lochia - Scant lochia may be seen in normal postpartum period, but in endometritis, lochia may be increased and foul-smelling due to infection.
Question 2 of 5
Which of the following is a potential complication of a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Postpartum hemorrhage, infection, and deep vein thrombosis are all potential complications of a cesarean delivery. Postpartum hemorrhage can occur due to excessive bleeding after delivery. Infection can happen at the incision site or internally. Deep vein thrombosis is a risk due to immobility and changes in blood flow during and after surgery. Choosing options A, B, or C alone would not encompass all potential complications, making D the most comprehensive answer.
Question 3 of 5
Which of the following is a potential complication of postpartum depression?
Correct Answer: A
Rationale: The correct answer is A: Poor bonding with the newborn. Postpartum depression can interfere with a mother's ability to bond with her newborn due to feelings of sadness, anxiety, and detachment. This can impact the emotional connection and care provided to the baby, potentially leading to long-term developmental and behavioral issues.
Choices B and C are incorrect as they are not direct complications of postpartum depression. Insufficient milk production is more related to physical factors, while postpartum hemorrhage is a medical complication during childbirth.
Choice D is incorrect as it is too broad and not all-encompassing of the potential complications of postpartum depression.
Question 4 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B because cytomegalovirus can be transmitted through saliva and urine of the newborn. This is important for nurses to understand in order to prevent transmission to other infants and staff.
Choice A is incorrect as acyclovir is used for herpes simplex virus, not cytomegalovirus.
Choice C is incorrect because lesions are not typically visible in maternal cytomegalovirus.
Choice D is incorrect as airborne precautions are not required for cytomegalovirus.
Question 5 of 5
What is the recommended method of administering hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering the hepatitis B vaccine intramuscularly ensures optimal absorption and immune response. Muscle tissue has a rich blood supply, allowing for efficient distribution of the vaccine components. This route also minimizes the risk of injection site reactions and ensures proper dosage delivery. Oral administration (
B) is not recommended for the hepatitis B vaccine as it may not be as effective due to degradation in the digestive system.
Topical application (
C) is ineffective for vaccines that require systemic circulation. Subcutaneous injection (
D) may lead to inadequate absorption and efficacy compared to intramuscular injection.