ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-month-old infant who has manifestations of severe dehydration and a prescription for parenteral fluid therapy. The guardian asks, 'What are the indications that my baby needs an IV?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The absence of tears is a sign of severe dehydration, indicating the need for IV fluid therapy to restore hydration.
Question 2 of 5
A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Spotting is a common symptom of placenta previa due to the abnormal placement of the placenta near or over the cervix. Nausea, polyhydramnios, and uterine tenderness are not typically associated with this condition.
Question 3 of 5
Which of the following is a potential complication of a breech delivery?
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. In a breech delivery, where the baby is positioned feet or buttocks first, there is an increased risk of birth trauma due to potential difficulties in delivering the baby's head, leading to possible injuries such as fractures or nerve damage. Fetal distress and maternal hemorrhage can also occur but are not exclusive complications of breech delivery.
Choice D, "All of the above," is incorrect as not all potential complications of a breech delivery are listed.
Question 4 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious complication postpartum. The nurse should report this immediately to the provider for prompt intervention.
Choice B is normal lochia at this stage.
Choice C is within the normal range for heart rate postpartum.
Choice D is a normal blood pressure reading.
Choices E, F, and G are not provided, but they would likely be unrelated findings to report in this scenario.
Question 5 of 5
Which of the following is a potential barrier to patient-centered care in maternal and newborn healthcare?
Correct Answer: D
Rationale: Barriers to patient-centered care include lack of cultural competence, provider bias, and limited resources.