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 preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available in case the client shows signs of toxicity, such as respiratory depression or loss of deep tendon reflexes.
Question 2 of 5
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. This is recommended for pain relief during labor in high-risk pregnancies as it provides effective pain relief while allowing the woman to remain alert and participate in labor. Epidural anesthesia can be adjusted as needed and does not affect the baby's heart rate. Spinal anesthesia is typically used for cesarean sections and may not be ideal for labor pain management. Intravenous opioids can cross the placenta and affect the baby's breathing and heart rate.
Choice D is incorrect because not all methods are recommended for high-risk pregnancies.
Question 3 of 5
A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?
Correct Answer: C
Rationale: Requesting a female interpreter through the facility ensures accurate and professional communication, respecting the client's privacy and cultural preferences. Using a child or partner to translate is inappropriate and may lead to misunderstandings.
Question 4 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: The correct answer is C: Remove all clothing from the newborn except the diaper. This is crucial during phototherapy for hyperbilirubinemia because it helps maximize skin exposure to the therapeutic light. By removing clothing, the skin can absorb the light more effectively, aiding in the breakdown of bilirubin.
Choice A is incorrect as water should not be given in place of feeding, as the newborn needs adequate nutrition.
Choice B is incorrect as applying lotion may interfere with the effectiveness of phototherapy.
Choice D is incorrect as a rash is a common side effect of phototherapy and should not warrant discontinuation of treatment.
Question 5 of 5
What is the recommended method of screening for group B streptococcus during pregnancy?
Correct Answer: A
Rationale: Culture of a vaginal swab is the recommended method for screening for group B streptococcus during pregnancy.