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 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 2 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: C
Rationale: A biophysical profile (BPP) is a non-invasive test that assesses fetal well-being and is often used after a positive contraction stress test to further evaluate the fetus.
Question 3 of 5
What is the role of the fallopian tubes in fertilization?
Correct Answer: C
Rationale: The correct answer is C: Transport of ova to the uterus. The fallopian tubes serve as the site of fertilization where the sperm meets the egg. They provide a pathway for the egg to travel from the ovary to the uterus for implantation. Production of ova (
A) occurs in the ovaries, not the fallopian tubes. Production of sperm (
B) happens in the testes, not the female reproductive system. Transport of sperm to the uterus (
D) occurs through the vas deferens, not the fallopian tubes.
Question 4 of 5
Which of the following is a potential ethical issue related to maternal request for cesarean delivery?
Correct Answer: A
Rationale: The ethical issue of autonomy versus beneficence arises when a mother's request for a cesarean delivery conflicts with medical recommendations. Respecting patient autonomy while ensuring beneficence (doing what is best for the patient) can create ethical dilemmas.
Question 5 of 5
Which of the following is a potential barrier to patient-centered care in maternal and newborn healthcare?
Correct Answer: D
Rationale: Barriers to patient-centered care include lack of cultural competence, provider bias, and limited resources.