ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to maternal hyperglycemia causing increased insulin production in the fetus. Jitteriness is a common manifestation of hypoglycemia in newborns as their brain relies heavily on glucose for energy. Abdominal distention (
A) is not usually associated with hypoglycemia in newborns. Petechiae (
B) are small, pinpoint hemorrhages under the skin and not related to hypoglycemia. Increased muscle tone (
C) is not a typical sign of hypoglycemia in newborns.
Question 2 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale:
1. Occipitoposterior position causes back labor due to fetal head pressing on the sacrum.
2. Hands-and-knees position can alleviate back labor by encouraging the fetus to rotate.
3. Asking if back labor improved evaluates effectiveness directly.
4. Options A, B, and C do not specifically address back labor, making them less relevant.
5. Option D focuses on the expected outcome of the intervention.
Question 3 of 5
What is the recommended method of feeding for a newborn with phenylketonuria (PKU)?
Correct Answer: C
Rationale: Lowphenylalanine formula feeding is recommended for newborns with PKU.
Question 4 of 5
Which of the following is a potential legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: Legal issues include medical malpractice, patient autonomy, and informed refusal.
Question 5 of 5
What is the recommended method of administering the second dose of hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: Intramuscular injection is the recommended method for administering the second dose of the hepatitis B vaccine to a newborn, as it ensures proper absorption and effectiveness.