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 hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This helps to improve blood flow and circulation, which can help increase blood pressure in a hypotensive client. Placing the client on their side also helps prevent potential complications such as supine hypotension syndrome.
Choice B is incorrect because administering oxygen may not directly address the underlying cause of hypotension in this situation.
Choice C is incorrect as massaging the fundus is typically done to assess postpartum bleeding in women who have recently given birth, not for hypotension following epidural anesthesia.
Choice D is incorrect because while emptying the bladder can help in some cases of hypotension, it may not be the most immediate or appropriate action in this scenario.
Question 2 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. In peripartum cardiomyopathy, monitoring blood pressure is crucial to detect any signs of worsening cardiac function or complications. Regular assessment can help identify hypertension or hypotension, which are common in this condition. Misoprostol (
A) is not indicated for peripartum cardiomyopathy. Restricting oral fluid intake (
C) can be harmful as adequate hydration is important postpartum. Administering an IV bolus of lactated Ringer's (
D) may not be necessary unless specifically ordered by the healthcare provider based on the client's condition.
Question 3 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: A, B, C, D
Rationale: The correct order is A, B, C, D. First, instructing the client to empty their bladder ensures better visualization and palpation of the uterus. Second, positioning the client supine with knees flexed and a small towel under the hip optimizes comfort and facilitates proper examination. Third, palpating the fetal part in the fundus helps determine the fetal presentation. Finally, palpating the fetal parts along both sides of the uterus assists in identifying the position and engagement of the fetus.
Choices E, F, and G are not relevant to the Leopold maneuvers sequence and do not contribute to the accurate assessment of fetal position and presentation.
Question 4 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 5 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.