ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. The nurse should report this to the provider immediately for further evaluation and management to prevent potential complications for both the mother and the baby.
Incorrect choices:
B: Varicose veins in the calves - Common in pregnancy due to increased blood volume and hormonal changes, usually not a cause for immediate concern.
C: Nonpitting 1+ ankle edema - Mild swelling is common in pregnancy, but nonpitting edema is typically not a significant finding unless it worsens.
D: Hyperpigmentation of the cheeks - Common in pregnancy, known as melasma or "mask of pregnancy," not typically a cause for immediate concern.
Question 2 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: Quality improvement patient-centered care and safety are all fundamental professional standards in nursing practice. These standards ensure high-quality safe and compassionate care for mothers and newborns.
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 required by law to ensure proper public health monitoring and intervention.
Question 4 of 5
Which of the following is a potential complication of maternal hypertension during pregnancy?
Correct Answer: D
Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.
Question 5 of 5
Which of the following is a potential complication of a vaginal delivery?
Correct Answer: A
Rationale: The correct answer is A: Shoulder dystocia. This occurs when the baby's shoulder gets stuck behind the mother's pubic bone during delivery. It can lead to serious complications for both the mother and the baby, such as brachial plexus injuries and postpartum hemorrhage. Shoulder dystocia requires immediate intervention to prevent further complications. Placenta previa (
B) is a condition where the placenta blocks the cervix, but it is not a direct complication of vaginal delivery. Umbilical cord prolapse (
C) and cephalopelvic disproportion (
D) are also potential issues during delivery but do not specifically relate to vaginal delivery complications.