ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Idiopathic thrombocytopenia purpura (ITP) is characterized by a decreased platelet count, which can lead to an increased risk of bleeding.
Question 2 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: "We need to know if you are positive for GBS at the time of delivery." At 37 weeks gestation, testing for GBS is done because colonization status can change over time. Even if the client was negative earlier in pregnancy or in previous pregnancies, she could have become colonized with GBS by the time of delivery. Testing closer to delivery ensures that the most accurate result is obtained to inform the need for intrapartum antibiotic prophylaxis, reducing the risk of neonatal GBS infection.
Choices A, B, and C are incorrect because they focus on past history or absence of symptoms, which are not reliable indicators of GBS status at the time of delivery. It is essential to test for GBS again close to delivery to ensure appropriate management.
Question 3 of 5
What is the recommended method of pain relief for a woman who has a vaginal tear or episiotomy after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a vaginal tear or episiotomy may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen is a pain reliever that can also help manage the discomfort. Ice packs can provide local anesthesia and reduce swelling. Using all three methods together can provide comprehensive pain relief by targeting different aspects of pain and inflammation. Thus, a combination of NSAIDs, acetaminophen, and ice packs is the recommended method for effective pain management in this situation. Other choices are incorrect because using only one method may not address all aspects of pain or inflammation adequately.
Question 4 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). During pregnancy, there is an increased risk of gestational diabetes. The normal fasting blood glucose range is 74 to 106 mg/dL, and a reading of 180 mg/dL indicates hyperglycemia, which can be harmful to both the mother and the fetus. The nurse should report this finding to the provider promptly for further evaluation and management to prevent complications.
A: Hematocrit within the normal range, so not concerning.
B: Creatinine within normal range, no immediate concern.
C: WBC count slightly elevated but could be due to pregnancy-related changes.
Summary: The correct answer is D because it indicates a potentially serious issue related to gestational diabetes. Other choices are within normal ranges or could be attributed to normal pregnancy changes.
Question 5 of 5
Which of the following is a potential complication of a retained placenta?
Correct Answer: B
Rationale: The correct answer is B: Postpartum hemorrhage. A retained placenta can lead to postpartum hemorrhage due to incomplete delivery of the placenta, causing excessive bleeding. Preeclampsia is a separate condition characterized by high blood pressure and can occur during pregnancy but is not directly caused by a retained placenta. Gestational diabetes is a condition of high blood sugar during pregnancy, unrelated to a retained placenta.
Choice D, "All of the above," is incorrect as not all options are potential complications of a retained placenta.