ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A fetal heart rate (FHR) of 152/min is within the normal range of 110 to 160 beats per minute for a fetus at 18 weeks of gestation.
Question 2 of 5
What is the function of the placenta during pregnancy?
Correct Answer: D
Rationale: The placenta protects the fetus, removes waste, and facilitates nutrient and gas exchange.
Question 3 of 5
Which of the following is a potential complication of a vaginal delivery?
Correct Answer: A
Rationale: The correct answer is A: Shoulder dystocia. This occurs when the baby's shoulder gets stuck behind the mother's pubic bone during delivery. It can lead to serious complications for both the mother and the baby, such as brachial plexus injuries and postpartum hemorrhage. Shoulder dystocia requires immediate intervention to prevent further complications. Placenta previa (
B) is a condition where the placenta blocks the cervix, but it is not a direct complication of vaginal delivery. Umbilical cord prolapse (
C) and cephalopelvic disproportion (
D) are also potential issues during delivery but do not specifically relate to vaginal delivery complications.
Question 4 of 5
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to ambulate to the bathroom. This is the appropriate initial action for the nurse to take because post-cesarean birth, the client may have difficulty urinating due to anesthesia effects or discomfort. Ambulation can help stimulate the bladder and promote urine voiding. Inserting a urinary catheter (
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
C) is a non-invasive way to assess for urinary retention, but ambulation should be attempted first. Administering a diuretic (
D) is not indicated without confirming urinary retention first.
Question 5 of 5
What is the recommended method of administering the second dose of hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: Intramuscular injection is the recommended method for administering the second dose of the hepatitis B vaccine to a newborn, as it ensures proper absorption and effectiveness.