ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. This is expected in postterm newborns due to prolonged intrauterine growth. The nails continue to grow in utero, leading to longer nails at birth. Large deposits of subcutaneous fat (option
A) are typically seen in term newborns, not postterm. Thin covering of fine hair on shoulders and back (option
B) is known as lanugo, which is more common in premature infants. Pale, translucent skin (option
D) is also more common in premature infants due to decreased subcutaneous fat.
Therefore, the correct answer is C, nails extending over tips of fingers, as it is a characteristic finding in postterm newborns.
Question 2 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This is correct because newborns and premature babies (delivered at 38 weeks) have less muscle tone and are at risk of airway compromise if the head falls forward in the car seat. Placing the car seat at a 45-degree angle helps keep the baby's airway open and prevents slumping.
A: "I can use a sleep sack to keep my baby warm in the car seat." - This is incorrect as bulky clothing or blankets should not be used in the car seat as they can compress in a crash and create a loose harness fit.
B: "My baby will need a car seat challenge test before discharge." - This is incorrect as car seat challenge tests are usually done for premature infants born before 37 weeks.
D: "When my baby is 1 year old, I can turn their car seat facing forward." - This is incorrect as rear
Question 3 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This helps to improve blood flow and circulation, which can help increase blood pressure in a hypotensive client. Placing the client on their side also helps prevent potential complications such as supine hypotension syndrome.
Choice B is incorrect because administering oxygen may not directly address the underlying cause of hypotension in this situation.
Choice C is incorrect as massaging the fundus is typically done to assess postpartum bleeding in women who have recently given birth, not for hypotension following epidural anesthesia.
Choice D is incorrect because while emptying the bladder can help in some cases of hypotension, it may not be the most immediate or appropriate action in this scenario.
Question 4 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. In peripartum cardiomyopathy, monitoring blood pressure is crucial to detect any signs of worsening cardiac function or complications. Regular assessment can help identify hypertension or hypotension, which are common in this condition. Misoprostol (
A) is not indicated for peripartum cardiomyopathy. Restricting oral fluid intake (
C) can be harmful as adequate hydration is important postpartum. Administering an IV bolus of lactated Ringer's (
D) may not be necessary unless specifically ordered by the healthcare provider based on the client's condition.
Question 5 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: A, B, C, D
Rationale: The correct order is A, B, C, D. First, instructing the client to empty their bladder ensures better visualization and palpation of the uterus. Second, positioning the client supine with knees flexed and a small towel under the hip optimizes comfort and facilitates proper examination. Third, palpating the fetal part in the fundus helps determine the fetal presentation. Finally, palpating the fetal parts along both sides of the uterus assists in identifying the position and engagement of the fetus.
Choices E, F, and G are not relevant to the Leopold maneuvers sequence and do not contribute to the accurate assessment of fetal position and presentation.