ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome occurs in newborns exposed to addictive substances in utero. Excessive crying is a common symptom due to withdrawal. Diminished deep tendon reflexes (
A) are not typically associated. Decreased muscle tone (
C) is also not a common finding in neonatal abstinence syndrome. Absent Moro reflex (
D) is not a characteristic symptom.
Therefore, excessive crying is the most expected finding in a newborn with neonatal abstinence syndrome.
Question 3 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 4 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: Professional standards include education, research, and collaboration.
Question 5 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Removing all clothing except the diaper ensures maximum skin exposure to the phototherapy lights, which is essential for effective treatment of hyperbilirubinemia.