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 hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A urine output of 280 mL within 8 hours is low and may indicate dehydration, which is a concern in a client with hyperemesis gravidarum.
Question 2 of 5
What is the recommended method of pain relief for a woman who has a vaginal tear or episiotomy after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a vaginal tear or episiotomy may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen is a pain reliever that can also help manage the discomfort. Ice packs can provide local anesthesia and reduce swelling. Using all three methods together can provide comprehensive pain relief by targeting different aspects of pain and inflammation. Thus, a combination of NSAIDs, acetaminophen, and ice packs is the recommended method for effective pain management in this situation. Other choices are incorrect because using only one method may not address all aspects of pain or inflammation adequately.
Question 3 of 5
A nurse in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment is crucial as it can indicate underlying health issues. Vaginal discharge and dyspareunia could suggest infections or reproductive health concerns. Monitoring temperature is essential to detect potential infections. Heart rate can be important, but in this case, it may not be as urgent unless it is significantly abnormal. Condom usage is relevant for assessing the adolescent's sexual health practices. Reporting these findings ensures comprehensive care and early intervention if needed.
Question 4 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D
Rationale: Correct Order: A, B, C, D
Rationale:
A) Instructing the client to empty their bladder is crucial to provide a clear assessment of the uterus and fetal parts.
B) Positioning the client supine with knees flexed and a towel under one hip promotes relaxation and facilitates palpation.
C) Palpating the fetal part in the fundus helps determine the presentation and position of the baby.
D) Palpating the fetal parts along both sides of the uterus allows the nurse to assess for consistency, location, and engagement.
Summary:
E, F, G are not applicable as they do not contribute to the sequential order of Leopold maneuvers. A, B, C, D are essential steps for a systematic and accurate assessment of fetal position and presentation.
Question 5 of 5
A nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: A
Rationale: Contractions every 5 minutes lasting 30 seconds are inadequate for labor progression, indicating the need to increase oxytocin infusion to strengthen contractions.