ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale:
Correct
Answer: C - Maintain a healthy weight.
Rationale: Maintaining a healthy weight is crucial for fertility as obesity or being underweight can impact fertility. Excess body fat can disrupt hormone levels and ovulation, while being underweight can also affect reproductive function. By suggesting the couple to maintain a healthy weight, the nurse is promoting overall reproductive health.
Summary of other choices:
A: Using a lubricant during intercourse does not address the underlying fertility issues.
B: Drinking herbal tea may not have a direct impact on fertility and lacks scientific evidence.
D: Taking daily hot baths can actually decrease sperm count and affect fertility.
E, F, G: These options are not provided but would likely not be as relevant as maintaining a healthy weight.
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). Elevated fasting blood glucose levels during pregnancy can indicate gestational diabetes, which requires immediate attention to prevent complications for both the mother and the baby. The normal range for fasting blood glucose is 74 to 106 mg/dL; a value of 180 mg/dL is significantly elevated. The nurse should report this finding to the provider for further evaluation and management.
Choice A (Hematocrit 37%) falls within the normal range for a pregnant woman.
Choice B (Creatinine 0.9 mg/dL) is within the normal range.
Choice C (WBC count 11,000/mm3) is slightly elevated but not typically concerning during pregnancy. The focus should be on managing the high blood glucose level to ensure the health of the mother and baby.
Question 3 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 as newborns have sensitive skin that can easily become irritated by harsh chemicals found in soaps. Washing the baby's face with plain water helps to keep their skin clean without causing any harm.
A: Bathing the baby immediately after a feeding can lead to discomfort and potential regurgitation.
B: Placing a bumper pad in the crib can increase the risk of suffocation or Sudden Infant Death Syndrome (SIDS).
C: Putting a soft mattress in the crib increases the risk of suffocation and poses a potential hazard to the baby's safety.
In summary, choosing option D ensures the safety and well-being of the newborn by providing gentle care for their delicate skin without introducing unnecessary risks or hazards.
Question 4 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to facial nerve injury, resulting in facial palsy. This occurs due to pressure exerted by the forceps on the baby's face during delivery. The other choices are incorrect because:
A) Polycythemia is not directly related to forceps-assisted birth.
B) Hypoglycemia is more commonly associated with maternal diabetes or prematurity.
C) Bronchopulmonary dysplasia is a lung condition seen in premature infants requiring prolonged mechanical ventilation. In summary, facial palsy is the most likely complication of forceps-assisted birth due to potential nerve injury, while the other choices are less directly linked to this birthing method.
Question 5 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 inducing ovulation. Breast tenderness is a common adverse effect due to the hormonal changes it causes in the body. This is important for the nurse to include in the teaching as it helps the client anticipate and manage this side effect. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use and are less likely to be relevant to discuss with the client in this context.