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: The correct answer is D: Respiratory distress. Hypoglycemia can lead to respiratory distress in newborns due to inadequate energy supply to respiratory muscles. Hypertonia (
A) is not typically associated with hypoglycemia. Increased feeding (
B) may be a compensatory mechanism for hypoglycemia. Hyperthermia (
C) is not a common manifestation of hypoglycemia. Thus, the presence of respiratory distress (
D) is a key indication of hypoglycemia in a late preterm newborn.
Question 2 of 5
What is the recommended method of administering vitamin K to a newborn who is at risk for bleeding?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. This is recommended as it ensures rapid and reliable absorption of vitamin K, preventing bleeding disorders in newborns. Intramuscular injection allows for efficient delivery into the bloodstream, ensuring the newborn receives the necessary vitamin K for clotting factor synthesis. Oral administration may be less effective due to variable absorption, while topical application and subcutaneous injection may not provide the needed systemic absorption.
Therefore, intramuscular injection is the optimal method for administering vitamin K to newborns at risk for bleeding.
Question 3 of 5
Which of the following is a potential complication of a preterm infant?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Preterm infants are at increased risk for various complications due to their immature organ systems. Hypoglycemia can occur due to limited glycogen stores. Respiratory distress syndrome is common due to underdeveloped lungs. Hyperbilirubinemia can result from immature liver function. Choosing D is correct as all these complications are prevalent in preterm infants.
Choices A, B, and C are incorrect individually as they only represent one potential complication each and do not encompass the full scope of risks faced by preterm infants.
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 4 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated |
|---|---|---|
| Insert a large bore intravenous catheter. | ||
| Assess cervical dilation. | ||
| Weigh perineal pads. | ||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: Inserting a large bore IV catheter is indicated to manage potential hemorrhage. Weighing perineal pads helps quantify blood loss. Assessing cervical dilation is contraindicated as it may exacerbate bleeding. Administering methotrexate is not relevant in this context.
Extract:
Question 5 of 5
A nurse is preparing to measure the temperature of an infant. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Axillary temperature measurement is safe and non-invasive for infants.