ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Medical History:
• Gravida 2 Para 2
• Cesarean birth
• Deep vein thrombosis with previous pregnancy
• Preeclampsia
• BMI of 32
Question 1 of 5
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
| Findings 24 hr later | Indication of worsening condition | Indication of improving condition |
|---|---|---|
| Increased warmth in the extremity | ||
| Tachycardia | ||
| Leukocytosis | ||
| Scant lochia rubra | ||
| Decreased extremity edema |
Correct Answer:
Rationale:
Extract:
Question 2 of 5
What is the recommended method of feeding for a term infant?
Correct Answer: A
Rationale: Breastfeeding is the recommended method for term infants due to numerous benefits such as optimal nutrition, immune system support, bonding, and reduced risk of infections and chronic diseases. Breast milk is tailored to the infant's needs, easily digestible, and promotes healthy growth and development. Formula feeding lacks the immune-boosting properties of breast milk and may increase the risk of allergies and obesity. Bottle feeding with breast milk is a viable alternative to breastfeeding, but direct breastfeeding offers additional benefits like skin-to-skin contact and enhanced milk production. Parenteral nutrition is not suitable for term infants as it involves delivering nutrients intravenously and is typically reserved for premature infants or those with specific medical conditions.
Question 3 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should increase my protein intake to 60 grams each day." This is the correct answer because protein is essential for fetal development and maternal health during pregnancy. Protein helps in the growth of the baby's tissues and organs. The recommended daily protein intake during pregnancy is higher than usual, around 71 grams per day.
Therefore, increasing protein intake to 60 grams is a good indication that the client understands the importance of adequate protein during pregnancy.
Choice B is incorrect because while hydration is important during pregnancy, there is no specific recommended daily intake of 2 liters of water.
Choice C is incorrect because increasing overall caloric intake by 300 calories is a general recommendation for the second and third trimesters, not necessarily at 10 weeks of gestation.
Choice D is incorrect because while folic acid is important during pregnancy to prevent birth defects, the recommended daily intake is 400-800 micrograms, not specifically 600 micrograms.
Question 4 of 5
Which of the following is a potential cause of female infertility?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Endometriosis, PCOS, and PID are all potential causes of female infertility. Endometriosis can lead to scarring and blockage of the fallopian tubes. PCOS can cause irregular ovulation and hormonal imbalances affecting fertility. PID can result in damage to the reproductive organs. Considering all three conditions can individually contribute to infertility, selecting D as the correct answer is logical. The other choices are incorrect as they do not encompass all potential causes of female infertility as listed in the question.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 5 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: Greenish discharge and pain on urination are consistent with gonorrhea. Diabetes and absence of condom use are risk factors but not direct symptoms.