ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: Respiratory distress in a late preterm newborn can be a sign of hypoglycemia, as low blood sugar levels can impair respiratory function.
Question 2 of 5
Which of the following is a potential complication of a vacuum-assisted delivery?
Correct Answer: C
Rationale: The correct answer is C: Intra-abdominal injury. During a vacuum-assisted delivery, the vacuum may apply excessive force leading to potential complications such as intra-abdominal injury. The vacuum can cause trauma to maternal organs like the bladder or uterus. Fetal distress and maternal hemorrhage can occur during any delivery, not specifically related to vacuum-assisted delivery.
Choice D is incorrect as it is not true that all three complications are potential risks of vacuum-assisted delivery.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:|
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.
Exhibit 4
Medical History
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy. Maternal use of marijuana during
pregnancy
Client who gave birth plans to breastfeed.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale:
Extract:
Question 4 of 5
What is the recommended method of screening for syphilis during pregnancy?
Correct Answer: D
Rationale: Screening for syphilis during pregnancy can involve the VDRL, RPR, or FTA-ABS tests.
Question 5 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the umbilical cord, which can lead to fetal distress and compromise blood flow. By covering the cord with a sterile saline-saturated towel, the nurse can protect it from drying out and reduce the risk of infection. Additionally, this intervention helps maintain a moist environment for the cord until emergency measures are taken. Performing a vaginal examination (
Choice
A) can further worsen the situation by causing more pressure on the cord. Administering oxygen (
Choice
C) and initiating IV fluids (
Choice
D) are important interventions but should follow the immediate action of covering the cord.