ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a 16-hour-old newborn indicate respiratory distress and require immediate attention from the provider to prevent further complications. Acrocyanosis (choice
B) is a common finding in newborns and is not concerning. Overlapping suture lines (choice
C) can be normal in a newborn as their skull bones are not fused yet. A head circumference of 33 cm (13 in) (choice
D) falls within the normal range for a newborn and does not require immediate reporting.
Question 2 of 5
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: At 12 weeks of gestation, the fetal heart rate is best assessed using an ultrasound stethoscope positioned above the symphysis pubis. Leopold maneuvers are not necessary at this early stage.
Question 3 of 5
Which of the following is a potential complication of a vaginal birth after cesarean (VBAC)?
Correct Answer: A
Rationale: Uterine rupture is a potential complication of VBAC.
Question 4 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: Quality improvement patient-centered care and safety are all fundamental professional standards in nursing practice. These standards ensure high-quality safe and compassionate care for mothers and newborns.
Question 5 of 5
A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to have tangible memories of their stillborn baby, aiding in the grieving process and closure. It validates the existence of the fetus as part of the family. Limiting the time the fetus is in the room (choice
A) may not be necessary as per the client's wishes. Instructing the client about an autopsy (choice
C) may not be appropriate immediately after delivery. Informing the client about the law requiring naming the fetus (choice
D) is not accurate and may add unnecessary stress.