ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. When a newborn is delivered with a nuchal cord (umbilical cord wrapped around the neck), it can cause pressure on the baby's face during delivery, leading to small red or purple spots called petechiae. This occurs due to capillary rupture. Telangiectatic nevi (choice
A) are birthmarks caused by widened blood vessels, not related to nuchal cord. Periauricular papillomas (choice
C) are benign skin growths, not specifically linked to nuchal cord. Erythema toxicum (choice
D) is a common newborn rash unrelated to nuchal cord.
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. This instruction is important to ensure the newborn is receiving adequate nutrition and to establish a proper breastfeeding routine. Feeding on demand helps maintain the baby's hydration and growth. Option A is incorrect as newborns should feed until they are satisfied, not on a strict time limit. Option B is incorrect as water is not recommended for newborns as it can interfere with breast milk intake. Option C is incorrect as newborns should have more than 4 wet diapers a day.
Question 3 of 5
Which of the following is a potential cause of female infertility?
Correct Answer: D
Rationale: Female infertility can be caused by PCOS, endometriosis, or pelvic inflammatory disease (PI
D).
Question 4 of 5
Which of the following is a potential complication of a postpartum infection?
Correct Answer: A
Rationale:
Correct Answer: A (Septicemia)
Rationale:
1. Postpartum infection can lead to septicemia, a severe systemic infection caused by bacteria entering the bloodstream.
2. Septicemia can result in life-threatening complications such as septic shock and organ failure.
3. Anemia is not a direct complication of postpartum infection but can occur secondarily due to blood loss.
4. Thrombocytopenia is a separate condition characterized by low platelet levels and is not directly caused by postpartum infection.
5. "All of the above" is incorrect as not all listed complications are potential consequences of postpartum infection.
Summary: Septicemia is the correct answer as it is a serious complication directly associated with postpartum infection, while anemia and thrombocytopenia are not typically direct consequences of this condition.
Question 5 of 5
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A newborn who has not passed a meconium stool by 32 hours of age may have an obstruction or other gastrointestinal issue that requires further evaluation.