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 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 2 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). During pregnancy, there is an increased risk of gestational diabetes. The normal fasting blood glucose range is 74 to 106 mg/dL, and a reading of 180 mg/dL indicates hyperglycemia, which can be harmful to both the mother and the fetus. The nurse should report this finding to the provider promptly for further evaluation and management to prevent complications.
A: Hematocrit within the normal range, so not concerning.
B: Creatinine within normal range, no immediate concern.
C: WBC count slightly elevated but could be due to pregnancy-related changes.
Summary: The correct answer is D because it indicates a potentially serious issue related to gestational diabetes. Other choices are within normal ranges or could be attributed to normal pregnancy changes.
Question 3 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps reduce swelling, promote healing, and provide comfort for the client with a fourth-degree laceration. A warm compress improves blood flow to the area, which aids in the healing process. It also provides pain relief and promotes relaxation.
Choice B is incorrect because a cool sitz bath may not be appropriate for a fourth-degree laceration as it can constrict blood vessels and slow healing.
Choice C is incorrect because methylergonovine is a medication used to prevent or control postpartum hemorrhage, not specifically for perineal laceration.
Choice D is incorrect because applying povidone-iodine may be too harsh for the sensitive perineal area and can potentially irritate the wound.
In summary, applying a moist, warm compress is the most appropriate and beneficial intervention for a client with a fourth-degree perineal laceration postpart
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
Question 4 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, r candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal assessment | |||
| Vaginal discharge | |||
| Heart rate | |||
| Temperature | |||
| Dyspareunia | |||
| Condom usage |
Correct Answer: A,B,D,E,F
Rationale: Abdominal assessment, vaginal discharge, temperature, dyspareunia, and condom usage are critical findings that may indicate infections, sexually transmitted diseases, or other health concerns requiring provider evaluation.
Extract:
Question 5 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. This is crucial during phototherapy for hyperbilirubinemia because it helps maximize skin exposure to the therapeutic light. By removing clothing, the skin can absorb the light more effectively, aiding in the breakdown of bilirubin.
Choice A is incorrect as water should not be given in place of feeding, as the newborn needs adequate nutrition.
Choice B is incorrect as applying lotion may interfere with the effectiveness of phototherapy.
Choice D is incorrect as a rash is a common side effect of phototherapy and should not warrant discontinuation of treatment.