ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn who is 12 hr old and is experiencing jitteriness. Which of the following laboratory findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose. In a newborn experiencing jitteriness, the priority is to assess blood glucose levels to rule out hypoglycemia, which can lead to serious complications like seizures. Monitoring blood glucose is crucial for immediate intervention.
Total bilirubin (
B) is important for assessing jaundice, hemoglobin (
C) for anemia, and blood calcium (
D) for hypocalcemia, but these are not the priority in this situation. Blood glucose level is the main concern due to its potential immediate impact on the newborn's neurological function.
Question 2 of 5
What is the recommended method of pain relief during labor for a woman with a low-risk pregnancy?
Correct Answer: C
Rationale: The correct answer is C: Nitrous oxide inhalation. It is recommended for women with low-risk pregnancies as it provides pain relief without affecting labor progression or the baby. Epidural and spinal anesthesia are invasive methods that may be reserved for specific situations. Choosing "All of the above" is incorrect as not all methods are suitable for low-risk pregnancies.
Question 3 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B because cytomegalovirus can be transmitted through saliva and urine of the newborn. This is important for nurses to understand in order to prevent transmission to other infants and staff.
Choice A is incorrect as acyclovir is used for herpes simplex virus, not cytomegalovirus.
Choice C is incorrect because lesions are not typically visible in maternal cytomegalovirus.
Choice D is incorrect as airborne precautions are not required for cytomegalovirus.
Question 4 of 5
Which of the following is a potential complication of a retained placenta?
Correct Answer: B
Rationale: The correct answer is B: Postpartum hemorrhage. A retained placenta can lead to postpartum hemorrhage due to incomplete delivery of the placenta, causing excessive bleeding. Preeclampsia is a separate condition characterized by high blood pressure and can occur during pregnancy but is not directly caused by a retained placenta. Gestational diabetes is a condition of high blood sugar during pregnancy, unrelated to a retained placenta.
Choice D, "All of the above," is incorrect as not all options are potential complications of a retained placenta.
Question 5 of 5
Which of the following is a potential indication for a forceps-assisted delivery?
Correct Answer: C
Rationale: A prolonged second stage of labor is a common indication for a forceps-assisted delivery.