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: 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.
Question 2 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in late preterm newborns can lead to inadequate glucose supply to the respiratory muscles, causing respiratory distress. Hypertonia (
A) is not a typical sign of hypoglycemia. Increased feeding (
B) is a compensatory response to hypoglycemia. Hyperthermia (
C) is not a common manifestation of hypoglycemia.
Question 3 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 4 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Removing all clothing except the diaper ensures maximum skin exposure to the phototherapy lights, which is essential for effective treatment of hyperbilirubinemia.
Question 5 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: Laying the newborn across the lap and gently swaying is a positive parenting behavior that can help soothe the newborn and promote bonding.