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 in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the client in pulling their knees toward their abdomen. In shoulder dystocia, the McRoberts maneuver involves hyperflexing the mother’s legs against her abdomen to help rotate the baby's shoulders. This action widens the pelvic outlet, releasing the impacted shoulder. Applying pressure to the fundus (choice
A) is not effective in resolving shoulder dystocia. Pressing on the suprapubic area (choice
B) may not address the underlying issue. Moving the client onto their hands and knees (choice
C) may not provide the necessary positioning for resolving the shoulder dystocia.
Therefore, assisting the client in pulling their knees toward their abdomen (choice
D) is the most appropriate action.
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 in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment is crucial as it can indicate underlying health issues. Vaginal discharge and dyspareunia could suggest infections or reproductive health concerns. Monitoring temperature is essential to detect potential infections. Heart rate can be important, but in this case, it may not be as urgent unless it is significantly abnormal. Condom usage is relevant for assessing the adolescent's sexual health practices. Reporting these findings ensures comprehensive care and early intervention if needed.
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
What is the primary ethical principle guiding nursing practice in maternal and newborn healthcare?
Correct Answer: C
Rationale: The correct answer is C: Beneficence. In maternal and newborn healthcare, beneficence is the primary ethical principle guiding nursing practice. This principle emphasizes the obligation to act in the best interest of the mother and baby, promoting their well-being and health. Nurses are ethically bound to prioritize the welfare of their patients and provide care that maximizes benefits and minimizes harm. Autonomy (choice), non-maleficence (do no harm), and justice (fairness) are also important ethical principles in healthcare but beneficence takes precedence in maternal and newborn care due to the vulnerability of the patients and the need for optimal outcomes. Autonomy focuses on respecting the patient's rights to make decisions, non-maleficence emphasizes avoiding harm, and justice pertains to fairness in resource allocation. However, in the context of maternal and newborn healthcare, beneficence is the cornerstone principle to ensure the best possible care and outcomes for both mother and baby.