ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making the finger stick less painful for the client. Puncturing the finger while still damp with antiseptic solution (
A) can dilute the blood sample. Smearing blood onto the reagent strip (
B) can cause inaccurate results. Holding the finger above the heart prior to puncture (
C) can increase blood flow and dilute the sample.
Therefore, selecting the lateral side of the finger for puncture (
D) is the best option for obtaining an accurate 2-hr postprandial blood glucose measurement.
Question 2 of 5
Which of the following is a potential legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: Legal issues in maternal and newborn healthcare include medical negligence, patient confidentiality, and informed consent.
Question 3 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule calculates the estimated due date by adding 7 days to the first day of the last menstrual period, then subtracting 3 months, and finally adding 1 year. In this case, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17. This date is the estimated due date of delivery.
Choice A (May 13) is too early, choice C (May 3) is also too early, and choice D (May 20) is too late based on Nägele's Rule.
Question 4 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making the finger stick less painful for the client. Puncturing the finger while still damp with antiseptic solution (
A) can dilute the blood sample. Smearing blood onto the reagent strip (
B) can cause inaccurate results. Holding the finger above the heart prior to puncture (
C) can increase blood flow and dilute the sample.
Therefore, selecting the lateral side of the finger for puncture (
D) is the best option for obtaining an accurate 2-hr postprandial blood glucose measurement.
Question 5 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. The nurse should report this to the provider immediately for further evaluation and management to prevent potential complications for both the mother and the baby.
Incorrect choices:
B: Varicose veins in the calves - Common in pregnancy due to increased blood volume and hormonal changes, usually not a cause for immediate concern.
C: Nonpitting 1+ ankle edema - Mild swelling is common in pregnancy, but nonpitting edema is typically not a significant finding unless it worsens.
D: Hyperpigmentation of the cheeks - Common in pregnancy, known as melasma or "mask of pregnancy," not typically a cause for immediate concern.