ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication commonly used to manage postpartum hemorrhage due to uterine atony. It helps to contract the uterus, reduce bleeding, and prevent further complications. Administering betamethasone (choice
A) is not indicated for uterine atony and postpartum hemorrhage. Avoiding sterile vaginal examinations (choice
B) would not address the underlying issue of uterine atony. Obtaining a specimen for a Kleihauer-Betke test (choice
D) is used to determine the amount of fetal-maternal hemorrhage and is not the immediate priority for managing uterine atony and postpartum hemorrhage.
Question 2 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reporting the client's HIV status to the local health department is required by law to ensure proper public health monitoring and intervention.
Question 3 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Monitoring the client's blood pressure every 5 minutes after the first dose of anesthetic solution is essential to detect and manage hypotension, a common side effect of epidural anesthesia.
Question 4 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a crucial symptom to report as it could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ damage. Headaches in preeclampsia are often severe and persistent. Shortness of breath (
A) can be common in late pregnancy due to the growing uterus but is not necessarily a sign of a complication. Swelling of feet and ankles (
B) is also common in pregnancy and mostly due to fluid retention. Braxton Hicks contractions (
D) are normal, irregular contractions that do not signify labor.
Question 5 of 5
What is the primary intervention for postpartum hemorrhage?
Correct Answer: A
Rationale: The primary intervention for postpartum hemorrhage is A: Oxytocin infusion. Oxytocin causes uterine contractions, helping to control bleeding by promoting the expulsion of placental fragments and closing off blood vessels. Methylergonovine injection (
B) is used as a second-line therapy if oxytocin fails. Misoprostol (
C) is an alternative for those who cannot receive oxytocin. Blood transfusion (
D) is a supportive measure to manage severe hemorrhage but not the primary intervention.