ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the umbilical cord, which can lead to fetal distress and compromise blood flow. By covering the cord with a sterile saline-saturated towel, the nurse can protect it from drying out and reduce the risk of infection. Additionally, this intervention helps maintain a moist environment for the cord until emergency measures are taken. Performing a vaginal examination (
Choice
A) can further worsen the situation by causing more pressure on the cord. Administering oxygen (
Choice
C) and initiating IV fluids (
Choice
D) are important interventions but should follow the immediate action of covering the cord.
Question 2 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. This is because a uterus palpated to the right above the umbilicus 12 hours post-vaginal birth indicates a full bladder displacing the uterus. Emptying the bladder will help the uterus to return to its normal position and prevent uterine atony or excessive bleeding.
Choice A: Reassessing in 2 hours is not appropriate as immediate intervention is needed.
Choice B: Administering simethicone is not relevant to the situation described.
Choice D: Instructing the client to lie on their right side does not address the underlying issue of a full bladder.
Extract:
A nurse is caring for a newborn.
Exhibit1
Vital Signs
8 hr of age:
Temperature: 37.1° C (98.8° F) Axillary
Pulse rate: 132/min
Respiratory rate: 52/min
36 hr of age:
Temperature: 36.1° C (97" F) Axillary
Pulse rate: 160/min
Respiratory rate: 78/min”
Question 3 of 5
For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
| Assessment Findings | Hypoglycemia | Hyperbilirubinemia | Sepsis |
|---|---|---|---|
| Ecchymotic caput Succedaneum. | |||
| Decreased temperature. | |||
| Lethargy. | |||
| Poor feeding. | |||
| Respiratory distress. | |||
| Yellow sclera and oral mucosa. |
Correct Answer: B, C, D, E, F
Rationale: Decreased temperature, lethargy, poor feeding, and respiratory distress are consistent with sepsis. Yellow sclera and oral mucosa are consistent with hyperbilirubinemia.
Extract:
Question 4 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
Rationale: Postterm newborns have longer nails due to prolonged intrauterine exposure. This is known as "paronychia." The other options are not typical findings in postterm newborns. A: Large deposits of subcutaneous fat are seen in term or post-term newborns. B: Thin covering of fine hair on the shoulders and back, known as "lanugo," is seen in premature newborns. D: Pale, translucent skin is common in premature newborns.
Therefore, the correct answer is C, nails extending over the tips of fingers, as it aligns with the physiological characteristics of postterm newborns.
Question 5 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D, "Wash your baby’s face with plain water." This instruction is important to prevent irritation or infection on the baby's delicate skin. Washing the baby's face with plain water is gentle and safe.
Rationale:
1. Bathing the baby immediately after a feeding (Option
A) is not recommended as it can lead to discomfort and potential regurgitation.
2. Placing a bumper pad in the baby's crib (Option
B) poses a suffocation risk and is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
3. Putting a soft mattress in the baby's crib (Option
C) increases the risk of suffocation and SIDS. Firm mattresses are recommended for safe sleep.
In summary, washing the baby's face with plain water is the correct instruction as it promotes good hygiene without risking harm to the baby. The other options are incorrect as they pose safety risks or are not recommended practices for newborn care