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 in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: B
Rationale: Temperature is a priority assessment after an amniotomy, as it can indicate the onset of infection, such as chorioamnionitis.
Question 2 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 3 of 5
What is the recommended method of pain relief during labor for a woman with a low-risk pregnancy?
Correct Answer: C
Rationale: The correct answer is C: Nitrous oxide inhalation. It is recommended for women with low-risk pregnancies as it provides pain relief without affecting labor progression or the baby. Epidural and spinal anesthesia are invasive methods that may be reserved for specific situations. Choosing "All of the above" is incorrect as not all methods are suitable for low-risk pregnancies.
Question 4 of 5
Which of the following is a potential legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: Legal issues include medical malpractice, patient autonomy, and informed refusal.
Question 5 of 5
What is the primary intervention for postpartum hemorrhage?
Correct Answer: A
Rationale: The primary intervention for postpartum hemorrhage is A: Oxytocin infusion. Oxytocin causes uterine contractions, helping to control bleeding by promoting the expulsion of placental fragments and closing off blood vessels. Methylergonovine injection (
B) is used as a second-line therapy if oxytocin fails. Misoprostol (
C) is an alternative for those who cannot receive oxytocin. Blood transfusion (
D) is a supportive measure to manage severe hemorrhage but not the primary intervention.