ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the baby's face, resulting in facial nerve injury and subsequent facial palsy. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A), hypoglycemia (
B), and bronchopulmonary dysplasia (
C) are not typically associated with forceps-assisted birth. Polycythemia is an increase in red blood cells, hypoglycemia is low blood sugar, and bronchopulmonary dysplasia is a lung condition often seen in premature infants. It is important for the nurse to recognize facial palsy as a potential complication of forceps-assisted birth to provide appropriate care and support.
Extract:
A nurse is caring for a postpartum client who gave birth 3 days ago.
Exhibit 1
Vital Signs
Temperature 38.4° C (101.1° F)
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg
Question 2 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 3 of 5
Which of the following is a potential barrier to implementing evidence-based practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Resistance to change can hinder implementation as healthcare professionals may be reluctant to adopt new practices. Limited access to technology can impede the use of evidence-based tools and resources. Additionally, lack of funding can prevent healthcare facilities from investing in necessary training and resources for evidence-based practice.
Therefore, all these factors collectively serve as potential barriers to implementing evidence-based practice in maternal and newborn healthcare.
Question 4 of 5
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns, particularly those born at 26 weeks of gestation, their muscle tone is typically low, leading to minimal arm recoil. This is a key characteristic assessed in the New Ballard Score to determine gestational age accurately. The other choices are incorrect because: B: A popliteal angle of 90° is more indicative of term infants; C: Creases over the entire foot sole are also seen in term infants; D: Raised areolas with 3 to 4 mm buds are features of newborns closer to term. Thus, A is the most appropriate finding for a newborn born at 26 weeks of gestation based on the New Ballard Score.
Question 5 of 5
Which stage of labor is characterized by the period between the end of the third stage and the mother's recovery from delivery?
Correct Answer: D
Rationale: The correct answer is D: Fourth stage. The fourth stage of labor, also known as the postpartum period, begins after the delivery of the placenta and extends until the mother's vital signs stabilize and she recovers from childbirth. This stage typically lasts around 1-4 hours. During this time, healthcare providers monitor the mother for any signs of complications such as excessive bleeding or infection. The first stage (
A) is characterized by the onset of labor contractions, the second stage (
B) is the pushing stage ending with the baby's delivery, and the third stage (
C) involves the delivery of the placenta.
Choices E, F, and G are irrelevant as they do not correspond to any stage of labor.