ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate seizure precautions. Neonatal abstinence syndrome can cause seizures due to drug withdrawal. Seizure precautions involve creating a safe environment, padding the crib, and monitoring for signs of seizures. Monitoring blood glucose levels (
A) may be important but not the priority. Placing the infant on his back with legs extended (
B) is not relevant to managing neonatal abstinence syndrome. Providing a stimulating environment (
D) can worsen symptoms.
Question 2 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale:
Correct Answer: D - "Staff members who take care of your baby will be wearing a photo identification badge."
Rationale:
1. Safety and security: This statement promotes safety by ensuring that only authorized staff members are caring for the newborn.
2. Identification: The photo ID badge allows the mother to easily identify who is interacting with her baby.
3. Preventing unauthorized access: It minimizes the risk of unauthorized individuals posing as staff members.
4. Professionalism: Wearing photo ID badges is a standard practice in healthcare settings to ensure accountability and professionalism.
Summary:
A: Incorrect - Carrying the baby to the nursery for procedures may not ensure security and could expose the baby to unnecessary risks.
B: Incorrect - While documenting relationships of visitors is important, it does not directly address the security and safety of the newborn.
C: Incorrect - Co-sleeping with the baby in the hospital bed can pose risks of suffocation or injury, contradicting safety measures.
Question 3 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common side effect due to the hormonal changes caused by the drug. It occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not commonly associated with clomiphene citrate use. Tinnitus is more commonly linked to ear problems, urinary frequency may be due to other factors, and chills are not a typical side effect of this medication.
Question 4 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: Professional standards include education, research, and collaboration.
Question 5 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: Depression is a known adverse effect of combined oral contraceptives due to the hormonal changes they induce.