ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding can indicate a potential genetic abnormality or chromosomal disorder, such as Down syndrome. The nurse should report this to the provider for further evaluation and appropriate management. Single palmar creases are not a typical finding in a full-term newborn and can be a significant indicator of an underlying condition.
The other choices are incorrect because:
B: Down syndrome is a potential consequence of having single palmar creases, but it is not the clinical finding that should be reported.
C: Rust-stained urine is not typically a concerning finding in a newborn and does not require immediate reporting.
D: Transient circumoral cyanosis is common in newborns and usually resolves on its own without intervention.
E: Subconjunctival hemorrhage is a common and benign finding in newborns due to the pressure changes during delivery and does not typically require immediate reporting.
Question 2 of 5
A nurse is making an initial postpartum home visit. Which of the following client statements should the nurse identity as a manifestation of Increased risk for child abuse?
Correct Answer: C
Rationale: Expecting a newborn to sleep through the night is unrealistic and may indicate frustration or lack of understanding, which are risk factors for child abuse. Other statements reflect normal parental concerns or support systems.
Question 3 of 5
Which of the following is a potential indication for induction of labor?
Correct Answer: A
Rationale: Preeclampsia is a common indication for the induction of labor.
Question 4 of 5
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Minimizing noise in the newborn's environment helps reduce overstimulation, which can exacerbate symptoms of neonatal abstinence syndrome. Naloxone is not used for this condition, and swaddling with legs extended is incorrect as it should be snug to provide comfort.
Question 5 of 5
A nurse is caring for a client who is in labor and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in the Trendelenburg position helps reduce pressure on the prolapsed cord, preventing fetal distress. Other actions like applying fundal pressure or wrapping the cord are not appropriate.