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: The correct answer is A. Frequent vomiting with weight loss of 3 lb in 1 week should be reported because it could indicate hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration and electrolyte imbalances, potentially harming the fetus. This is a significant concern that requires medical attention.
B: Reports of mood swings are common during pregnancy due to hormonal changes and are not typically a cause for immediate concern.
C: Nosebleeds occurring 3 times per week are common in pregnancy due to increased blood volume and hormonal changes, usually not a significant issue.
D: Increased vaginal discharge is a common pregnancy symptom caused by hormonal changes and increased blood flow to the pelvic area, usually not a cause for alarm at this stage.
Question 2 of 5
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: C
Rationale: Fetal anemia can lead to bradycardia due to reduced oxygen delivery to the fetal heart.
Question 3 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: B, C, D, A
Rationale: Leopold maneuvers should be performed in the following sequence: palpate the fundus, determine the location of the fetal back, palpate for the fetal part presenting at the inlet, and identify the attitude of the head.
Question 4 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 5 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: The correct answer is D: Report the client’s condition to the local health department. This action is important to ensure appropriate monitoring, follow-up, and prevention of transmission of HIV to others. Reporting to the health department will also help in tracking and managing the client's condition.
Incorrect choices:
A: Administering penicillin G is not indicated for managing HIV.
B: Annual pelvic examination is not directly related to managing HIV in pregnancy.
C: Starting HIV medication immediately after delivery may not be the most appropriate course of action for the client's health.
Summarized rationale: Reporting the client's condition to the health department is crucial for proper management and prevention of HIV transmission.