ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 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 2 of 5
Which stage of labor is characterized by the birth of the baby?
Correct Answer: B
Rationale: The correct answer is B: Second stage. This stage of labor is characterized by the birth of the baby. During the second stage, the cervix is fully dilated and the baby is pushed out through the birth canal. The first stage involves the onset of labor until full cervical dilation. The third stage is the delivery of the placenta. The fourth stage is the immediate postpartum period.
Choices E, F, and G are not relevant to the stages of labor. In summary, the second stage is specifically focused on the birth of the baby, making it the correct choice.
Question 3 of 5
A nurse is providing teaching to a client who is breastfeeding and experiencing engorgement. Which of the following recommendations should the nurse include?
Correct Answer: A
Rationale: Warm compresses help to relieve engorgement by promoting milk flow and reducing discomfort before feedings.
Question 4 of 5
Which of the following is a potential complication of hypothermia in a newborn?
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. Hypothermia can lead to respiratory distress syndrome in a newborn due to decreased surfactant production, leading to alveolar collapse and impaired gas exchange. Hypoglycemia can also occur but is not directly related to hypothermia. Hypertension is not typically associated with hypothermia in newborns.
Choice D, "All of the above," is incorrect as only respiratory distress syndrome is a direct potential complication of hypothermia in a newborn.
Question 5 of 5
Which of the following is a potential ethical issue in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, ethical issues can arise in various aspects such as informed consent, patient confidentiality, and end-of-life decision-making. Informed consent ensures that patients fully understand the risks and benefits of medical interventions. Patient confidentiality is essential for maintaining trust and privacy. End-of-life decision-making involves delicate ethical considerations regarding the best interests of both the mother and the newborn. These issues are crucial in ensuring ethical practices and upholding the rights of patients in maternal and newborn healthcare.
Choices A, B, and C are incorrect because each of them represents a distinct but valid ethical concern within this context.