ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, which can present with symptoms such as flank pain due to inflammation in the kidney area. Epigastric discomfort (
A) is more indicative of gastrointestinal issues. Temperature elevation (
C) may suggest an infection, but it is not specific to pyelonephritis. Abdominal cramping (
D) is more commonly associated with gastrointestinal or uterine issues during pregnancy.
Question 2 of 5
Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Language barriers, cultural differences, and limited access to technology can all act as potential barriers to effective communication in maternal and newborn healthcare. Language barriers can hinder understanding and conveying important information. Cultural differences can lead to misunderstandings and misinterpretations. Limited access to technology may restrict the ability to communicate effectively or access necessary resources.
Therefore, all three factors contribute to communication challenges in healthcare settings.
Choices A, B, and C are incorrect because they each represent individual barriers, whereas the correct answer encompasses all three as significant obstacles to effective communication in maternal and newborn healthcare.
Question 3 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. This finding indicates respiratory distress in a newborn and requires immediate attention. Substernal retractions suggest that the baby is having difficulty breathing, which can be a sign of a serious problem such as respiratory distress syndrome or pneumonia. The nurse should report this finding to the provider promptly to ensure appropriate intervention and treatment. Acrocyanosis (choice
B) is a common finding in newborns and is considered a normal variant due to immature circulation. Overlapping suture lines (choice
C) can occur in newborns and typically resolve on their own without intervention. A head circumference of 33 cm (13 in) (choice
D) is within the expected range for a newborn and does not raise immediate concerns.
Question 4 of 5
What is the recommended method of screening for group B streptococcus during pregnancy?
Correct Answer: A
Rationale: Culture of a vaginal swab is the recommended method for screening for group B streptococcus during pregnancy.
Question 5 of 5
What is the recommended method of pain relief for a woman who has a perineal laceration after delivery?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Perineal lacerations after delivery can cause significant pain. Using a combination of pain relief methods is recommended for effective management. NSAIDs and acetaminophen can help reduce inflammation and provide pain relief. Sitz baths can also help soothe the area and promote healing. By combining these methods, the woman can experience better pain control and faster recovery. Choosing only one method may not provide adequate relief for the severity of the pain experienced after perineal laceration.