ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A fetal heart rate baseline of 170/min is tachycardic and should be reported to the provider as it may indicate fetal distress.
Question 2 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. This is the recommended site for administering vaccines to newborns due to its large muscle mass, which allows for optimal absorption and minimizes the risk of injury to surrounding structures. It is also the preferred site to prevent damage to the sciatic nerve and femoral artery. Options B, C, and D are incorrect because massaging the site vigorously can cause discomfort, inserting the needle at a 45° angle may not reach the muscle in newborns, and using a 21-gauge needle may not be appropriate for newborns.
Question 3 of 5
What is the recommended method of feeding for a full-term newborn who is not at risk for hypoglycemia?
Correct Answer: A
Rationale: Breastfeeding is the recommended method of feeding for full-term newborns who are not at risk for hypoglycemia.
Question 4 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious complication postpartum. The nurse should report this immediately to the provider for prompt intervention.
Choice B is normal lochia at this stage.
Choice C is within the normal range for heart rate postpartum.
Choice D is a normal blood pressure reading.
Choices E, F, and G are not provided, but they would likely be unrelated findings to report in this scenario.
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.