ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Peripartum cardiomyopathy is a condition that affects the heart during or after pregnancy. Monitoring blood pressure is crucial for early detection of worsening cardiac function, as hypertension or hypotension can be indicators of cardiac decompensation. Assessing blood pressure twice daily allows the nurse to promptly identify any fluctuations and intervene accordingly. Option A (misoprostol) is not indicated for this condition. Option C (restricting oral fluid intake) can potentially worsen the client's cardiac function by leading to dehydration. Option D (administering an IV bolus of lactated Ringer's) may not be appropriate without assessing the client's fluid status first.
Question 2 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The priority intervention is to begin FHR (fetal heart rate) monitoring to ensure the fetus is not in distress after the rupture of membranes. This is critical for fetal well-being.
Question 3 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: Depression is a known adverse effect of combined oral contraceptives due to the hormonal changes they induce.
Question 4 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: B
Rationale: The correct answer is B: Active phase. At 9 cm dilation, the client is in the active phase of the first stage of labor. During this phase, contractions are strong and frequent, leading to rapid cervical dilation. The increasing rectal pressure and close contractions indicate active labor.
Choice A: Passive descent - Incorrect. This phase occurs after full dilation and is characterized by fetal descent.
Choice C: Early phase - Incorrect. This phase occurs at the beginning of labor when the cervix is dilating from 0 to 3 cm.
Choice D: Descent - Incorrect. Descent refers to the movement of the fetus through the birth canal, not a specific phase of labor.
Question 5 of 5
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: D
Rationale: Swelling of the face can indicate preeclampsia, a serious condition during pregnancy that requires immediate medical attention. Other options like bleeding gums, faintness upon rising, and urinary frequency are common during pregnancy and not typically concerning unless severe.