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 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 2 of 5
What is the primary goal of culturally competent care in maternal and newborn healthcare?
Correct Answer: B
Rationale: The correct answer is B:
To promote health equity. Culturally competent care aims to ensure all individuals receive care that is respectful of and responsive to their cultural beliefs and practices. By promoting health equity, healthcare providers can address disparities in healthcare outcomes among diverse populations.
Choice A is incorrect because cultural competence values and respects cultural differences instead of eliminating them.
Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's.
Choice D is incorrect as it inaccurately suggests that all options are equally important, when in reality, promoting health equity is the primary goal.
Question 3 of 5
Which of the following tests is used to assess fetal lung maturity?
Correct Answer: D
Rationale: The correct answer is D: Lecithin-sphingomyelin (L/S) ratio. This test measures the ratio of two phospholipids in the amniotic fluid to assess fetal lung maturity. A higher L/S ratio indicates mature fetal lungs. Non-stress test (
A) monitors fetal heart rate, biophysical profile (
B) evaluates fetal well-being but not lung maturity, and amniocentesis (
C) is used to analyze amniotic fluid for genetic abnormalities, not lung maturity.
Question 4 of 5
Which of the following is a potential complication of maternal hyperemesis gravidarum?
Correct Answer: D
Rationale: Hyperemesis gravidarum can lead to preterm labor, fetal growth restriction, and maternal dehydration.
Question 5 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation is a procedure that blocks the fallopian tubes, preventing the egg from reaching the uterus for fertilization.
Therefore, ovulation still occurs, but the egg cannot travel to the uterus. This statement indicates an understanding of the procedure.
A: Premenstrual tension may still occur as tubal ligation does not affect hormone levels.
B: The length of menstrual periods is not directly affected by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation as it does not affect hormone production.
In summary, understanding that ovulation continues after tubal ligation is crucial for effective contraception.