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 action helps improve venous return by reducing pressure on the vena cava, thus increasing cardiac output and blood pressure. It prevents supine hypotensive syndrome.
B: Applying oxygen won't directly address hypotension caused by epidural anesthesia.
C: Massaging the fundus is not relevant for treating hypotension related to epidural anesthesia.
D: Assisting the client to empty the bladder may be needed, but it won't directly address hypotension.
Question 2 of 5
Which of the following is a potential legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: Legal issues include medical malpractice, patient autonomy, and informed refusal.
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 admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The client being 80% effaced and 8 cm dilated indicates she is in active labor and close to delivering the baby. This progression puts her at risk for postpartum hemorrhage, which is excessive bleeding after childbirth due to the uterus not contracting effectively to control bleeding from the site where the placenta was attached. Other choices are incorrect because: A: Ectopic pregnancy is when a fertilized egg implants outside the uterus. B: Hyperemesis gravidarum is severe nausea and vomiting during pregnancy. C: Incompetent cervix is when the cervix begins to dilate and efface prematurely.
Question 5 of 5
A nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Positioning the baby at a 45-degree angle in the car seat ensures proper airway alignment and reduces the risk of suffocation. Placing the baby in the front seat or turning the car seat too early are unsafe practices.