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 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, resulting in a foul-smelling, greenish-yellow vaginal discharge. This characteristic discharge is due to the infection and inflammation of the vaginal mucosa. Option A (Thick, white vaginal discharge) is more indicative of a yeast infection, while option B (Urinary frequency) is not specific to trichomoniasis. Option C (Vulva lesions) is not a common symptom of trichomoniasis. Overall, the malodorous discharge is the key finding in diagnosing trichomoniasis at 20 weeks of gestation.
Question 2 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: "We need to know if you are positive for GBS at the time of delivery." This response is appropriate because GBS status can change throughout pregnancy, and testing closer to delivery provides the most accurate information to guide treatment and prevent transmission to the newborn.
Choice A is incorrect as GBS is often asymptomatic and can be present without any noticeable symptoms.
Choice B is incorrect because GBS status can change between pregnancies.
Choice C is incorrect as GBS testing at 37 weeks is standard practice regardless of earlier prenatal testing results.
Question 3 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. Sore nipples in breastfeeding can be caused by improper latch, leading to discomfort for the mother. By assessing the newborn's latch, the nurse can identify any issues such as shallow latch or poor positioning that may be causing the soreness. This allows for timely intervention to improve the latch, alleviate nipple soreness, and promote successful breastfeeding.
Choice A is incorrect as spacing out feedings can lead to engorgement and decreased milk supply.
Choice C is incorrect as limiting breastfeeding time can affect milk production and hinder proper milk transfer.
Choice D is incorrect as offering formula may interfere with breastfeeding establishment and can decrease milk supply.
Question 4 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, a serious complication postpartum. The nurse should report this to the provider immediately for further assessment and intervention.
Choice B, moderate lochia serosa, is a normal finding 3 days postpartum.
Choice C, heart rate 89/min, and choice D, BP 120/70 mm Hg, are within normal limits for a postpartum client and do not require immediate reporting.
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial in preventing infection, as the leaking cerebrospinal fluid puts the newborn at risk for meningitis. Antibiotics help reduce the risk of infection until surgical closure can be performed. Monitoring rectal temperature (
B) is important but not the priority. Cleansing the site with povidone-iodine (
C) may further irritate the area. Planning for surgical closure after 72 hr (
D) is important, but immediate infection prevention is the priority.