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 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Tell the client they will start medication for HIV immediately after delivery. At 22 weeks of gestation, the main concern is preventing vertical transmission of HIV to the fetus. Starting HIV medication immediately after delivery is crucial to reduce the risk of transmission to the baby. Administering penicillin G (choice
A) is not indicated for an HIV positive client, as it does not treat HIV. Instructing the client to schedule an annual pelvic examination (choice
B) is not a priority in this case. Reporting the client's condition to the local health department (choice
D) is not necessary at this point.
Question 2 of 5
A nurse is providing teaching to a client who is breastfeeding and experiencing engorgement. Which of the following recommendations should the nurse include?
Correct Answer: A
Rationale: Warm compresses help to relieve engorgement by promoting milk flow and reducing discomfort before feedings.
Question 3 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can positively impact fertility by promoting hormonal balance and regular ovulation. Excess weight can disrupt menstrual cycles and ovulation, leading to fertility issues. By suggesting maintaining a healthy weight, the nurse is addressing a crucial aspect of fertility optimization.
Choice A (Use a lubricant during intercourse) is incorrect because while lubricants can aid in sexual comfort, they do not directly impact fertility.
Choice B (Drink herbal tea two times daily) is incorrect as there is no scientific evidence to support the efficacy of herbal teas in improving fertility.
Choice D (Take daily hot baths) is incorrect as excessive heat from hot baths can actually negatively affect sperm production and motility, reducing fertility chances.
Overall, maintaining a healthy weight is the most evidence-based and beneficial nonpharmacological treatment option for enhancing fertility.
Question 4 of 5
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Correct Answer: B
Rationale: Leakage of fluid from the vagina after an amniocentesis may indicate rupture of the amniotic membranes, which is a potential complication that requires immediate medical attention.
Question 5 of 5
Which of the following is a potential complication of neonatal hypothermia?
Correct Answer: A
Rationale: Neonatal hypothermia can lead to hypoglycemia due to the increased energy demands of maintaining body temperature.