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 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is primarily spread through direct contact with an infected person or contaminated objects. By implementing contact precautions, the nurse can prevent the transmission of MRSA by wearing gloves and gowns when providing care, practicing proper hand hygiene, and ensuring proper cleaning and disinfection of the environment. Droplet precautions (choice
A) are used for diseases spread through respiratory droplets, such as influenza or pertussis. Protective environment (choice
C) is used for immunocompromised clients to protect them from infections in the environment. Airborne precautions (choice
D) are used for diseases spread through airborne particles, such as tuberculosis or measles.
Question 2 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding can indicate a potential genetic abnormality or chromosomal disorder, such as Down syndrome. The nurse should report this to the provider for further evaluation and appropriate management. Single palmar creases are not a typical finding in a full-term newborn and can be a significant indicator of an underlying condition.
The other choices are incorrect because:
B: Down syndrome is a potential consequence of having single palmar creases, but it is not the clinical finding that should be reported.
C: Rust-stained urine is not typically a concerning finding in a newborn and does not require immediate reporting.
D: Transient circumoral cyanosis is common in newborns and usually resolves on its own without intervention.
E: Subconjunctival hemorrhage is a common and benign finding in newborns due to the pressure changes during delivery and does not typically require immediate reporting.
Question 3 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will eliminate products that contain dairy from my diet." This is the correct answer because dairy products can exacerbate symptoms of hyperemesis gravidarum due to their high fat content. Eliminating dairy can help reduce nausea and vomiting.
Choice A is incorrect because prioritizing taste over balanced nutrition is not helpful for managing hyperemesis gravidarum.
Choice B is irrelevant to dietary management of hyperemesis gravidarum.
Choice C is incorrect as hot tea may irritate the stomach and worsen symptoms.
Question 4 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal hypoxia. Administering oxygen improves oxygen saturation in the mother's blood, increasing oxygen delivery to the fetus. This can help improve fetal oxygenation and reduce the risk of fetal distress. In contrast, option A could increase intra-abdominal pressure, worsening fetal oxygenation. Option C may further compromise blood flow to the fetus. Option D is used in cases of low amniotic fluid levels, not for late decelerations.
Question 5 of 5
What is the recommended method of administering vitamin K to a newborn?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering vitamin K via intramuscular injection ensures rapid absorption and immediate availability in newborns who are at risk for vitamin K deficiency bleeding. Oral administration may be less effective due to variability in absorption.
Topical application is not recommended for newborns. Subcutaneous injection may not provide as consistent absorption as intramuscular route. Overall, intramuscular injection is the most reliable and recommended method for vitamin K administration to newborns.