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. This finding indicates respiratory distress in a newborn and requires immediate attention. Substernal retractions suggest that the baby is having difficulty breathing, which can be a sign of a serious problem such as respiratory distress syndrome or pneumonia. The nurse should report this finding to the provider promptly to ensure appropriate intervention and treatment. Acrocyanosis (choice
B) is a common finding in newborns and is considered a normal variant due to immature circulation. Overlapping suture lines (choice
C) can occur in newborns and typically resolve on their own without intervention. A head circumference of 33 cm (13 in) (choice
D) is within the expected range for a newborn and does not raise immediate concerns.
Question 2 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Eliminating dairy products may help reduce nausea and vomiting in clients with hyperemesis gravidarum, as dairy can sometimes exacerbate these symptoms.
Question 3 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Verify that informed consent is obtained prior to administration.
Rationale: Verifying informed consent is crucial before any medical procedure, including administering dinoprostone, to ensure the client understands the risks and benefits. It also respects the client's autonomy and legal rights.
Summary of other choices:
A: Allowing the medication to reach room temperature is irrelevant to the administration process.
B: Placing the client in a semi-Fowler's position is not necessary for administering a dinoprostone insert.
C: Instructing the client to avoid urinary elimination is unnecessary and can be harmful.
E, F, G: No additional choices provided.
Question 4 of 5
Which stage of labor is characterized by the period between the onset of regular contractions and full cervical dilation?
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor begins with the onset of regular contractions and ends with complete cervical dilation at 10 cm. During this stage, the cervix gradually thins and opens to allow the baby to pass through the birth canal. The first stage is further divided into early, active, and transition phases based on the rate of cervical dilation and effacement. The second stage (
B) is characterized by the baby's descent through the birth canal and ends with the baby's delivery. The third stage (
C) involves the delivery of the placenta. The fourth stage (
D) is the immediate postpartum period. These stages come after the first stage of labor.
Question 5 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D, "Wash your baby’s face with plain water." This instruction is important to prevent irritation or infection on the baby's delicate skin. Washing the baby's face with plain water is gentle and safe.
Rationale:
1. Bathing the baby immediately after a feeding (Option
A) is not recommended as it can lead to discomfort and potential regurgitation.
2. Placing a bumper pad in the baby's crib (Option
B) poses a suffocation risk and is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
3. Putting a soft mattress in the baby's crib (Option
C) increases the risk of suffocation and SIDS. Firm mattresses are recommended for safe sleep.
In summary, washing the baby's face with plain water is the correct instruction as it promotes good hygiene without risking harm to the baby. The other options are incorrect as they pose safety risks or are not recommended practices for newborn care