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 receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale:
Correct Answer: C - Hypotension
Rationale:
1. Opioid analgesics can cause vasodilation leading to hypotension.
2. Epidural administration can further potentiate the hypotensive effect.
3. Monitoring for hypotension is crucial to prevent complications like decreased perfusion.
Incorrect
Choices:
A: Hyperglycemia - Opioids are not known to cause hyperglycemia.
B: Bilateral crackles - Indicates pulmonary issues, not related to opioids.
D: Polyuria - Not a common adverse effect of opioids.
Question 2 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: Late decelerations in the fetal heart rate are a sign of fetal distress and contraindicate the use of oxytocin, as it can exacerbate the distress.
Question 3 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 4 of 5
Which of the following is a potential complication of a vacuum-assisted delivery?
Correct Answer: D
Rationale: Vacuum-assisted delivery can lead to fetal distress, maternal hemorrhage, and neonatal cephalohematoma.
Question 5 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A,C
Rationale: Oxytocin is administered postpartum to manage uterine atony (flaccid uterus) and control excessive bleeding, which are common indications for its use.