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 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: A rectal suppository like bisacodyl is effective for relieving constipation and is safe for postpartum clients with perineal lacerations.
Question 2 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale:
1. Occipitoposterior position causes back labor due to fetal head pressing on the sacrum.
2. Hands-and-knees position can alleviate back labor by encouraging the fetus to rotate.
3. Asking if back labor improved evaluates effectiveness directly.
4. Options A, B, and C do not specifically address back labor, making them less relevant.
5. Option D focuses on the expected outcome of the intervention.
Question 3 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. When a newborn is delivered with a nuchal cord (umbilical cord wrapped around the neck), it can cause pressure on the baby's face during delivery, leading to small red or purple spots called petechiae. This occurs due to capillary rupture. Telangiectatic nevi (choice
A) are birthmarks caused by widened blood vessels, not related to nuchal cord. Periauricular papillomas (choice
C) are benign skin growths, not specifically linked to nuchal cord. Erythema toxicum (choice
D) is a common newborn rash unrelated to nuchal cord.
Question 4 of 5
What is the recommended method of feeding for a newborn with phenylketonuria (PKU)?
Correct Answer: C
Rationale: Lowphenylalanine formula feeding is recommended for newborns with PKU.
Question 5 of 5
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: At 12 weeks of gestation, the fetal heart rate is best assessed by placing the ultrasound stethoscope above the symphysis pubis, where the uterus is located.