ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule calculates the estimated due date by adding 7 days to the first day of the last menstrual period, then subtracting 3 months, and finally adding 1 year. In this case, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17. This date is the estimated due date of delivery.
Choice A (May 13) is too early, choice C (May 3) is also too early, and choice D (May 20) is too late based on Nägele's Rule.
Question 2 of 5
Which of the following is a potential cause of female infertility?
Correct Answer: D
Rationale: Female infertility can be caused by PCOS, endometriosis, or pelvic inflammatory disease (PI
D).
Question 3 of 5
A nurse is caring for a client who is in labor and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in the Trendelenburg position helps reduce pressure on the prolapsed cord, preventing fetal distress. Other actions like applying fundal pressure or wrapping the cord are not appropriate.
Question 4 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation is a procedure that blocks the fallopian tubes, preventing the egg from reaching the uterus for fertilization.
Therefore, ovulation still occurs, but the egg cannot travel to the uterus. This statement indicates an understanding of the procedure.
A: Premenstrual tension may still occur as tubal ligation does not affect hormone levels.
B: The length of menstrual periods is not directly affected by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation as it does not affect hormone production.
In summary, understanding that ovulation continues after tubal ligation is crucial for effective contraception.
Question 5 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: "We need to know if you are positive for GBS at the time of delivery." At 37 weeks gestation, testing for GBS is done because colonization status can change over time. Even if the client was negative earlier in pregnancy or in previous pregnancies, she could have become colonized with GBS by the time of delivery. Testing closer to delivery ensures that the most accurate result is obtained to inform the need for intrapartum antibiotic prophylaxis, reducing the risk of neonatal GBS infection.
Choices A, B, and C are incorrect because they focus on past history or absence of symptoms, which are not reliable indicators of GBS status at the time of delivery. It is essential to test for GBS again close to delivery to ensure appropriate management.