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 at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Frequent vomiting with significant weight loss may indicate hyperemesis gravidarum, a condition that requires medical intervention to prevent dehydration and nutritional deficiencies.
Question 2 of 5
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: B
Rationale: Temperature is a priority assessment after an amniotomy, as it can indicate the onset of infection, such as chorioamnionitis.
Question 3 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The client being 80% effaced and 8 cm dilated indicates she is in active labor and close to delivering the baby. This progression puts her at risk for postpartum hemorrhage, which is excessive bleeding after childbirth due to the uterus not contracting effectively to control bleeding from the site where the placenta was attached. Other choices are incorrect because: A: Ectopic pregnancy is when a fertilized egg implants outside the uterus. B: Hyperemesis gravidarum is severe nausea and vomiting during pregnancy. C: Incompetent cervix is when the cervix begins to dilate and efface prematurely.
Question 4 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite that commonly presents with a foul-smelling, frothy, greenish-yellow vaginal discharge. At 20 weeks gestation, the client may not exhibit other symptoms like urinary frequency or vulva lesions, making malodorous discharge the most likely finding. Thick, white vaginal discharge (option
A) is more indicative of a yeast infection. Urinary frequency (option
B) is not a typical symptom of trichomoniasis. Vulva lesions (option
C) are not a common manifestation of trichomoniasis.
Question 5 of 5
What is the recommended method of contraception for a woman who is breastfeeding?
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are safe to use while breastfeeding as they do not affect milk supply. They are also effective in preventing pregnancy. Combined oral contraceptives (choice
A) are not recommended during breastfeeding due to estrogen content. Depo-Provera injection (choice
B) and Copper IUD (choice
C) are also safe but may have more potential side effects during breastfeeding. In summary, progestin-only pills are the recommended choice for breastfeeding women due to their safety and effectiveness.