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 to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Pressing the button each time fetal movement is detected helps monitor fetal well-being by correlating movement with heart rate accelerations, which is the purpose of a nonstress test.
Question 2 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is crucial during a nonstress test to monitor fetal heart rate in response to movement. Pressing the button helps correlate fetal movements with any changes in heart rate, providing valuable data on fetal well-being. Maintaining NPO (
A) is not necessary for a nonstress test. Placing the client in a supine position (
B) can compress the vena cava, compromising blood flow to the fetus. Instructing the client to massage the abdomen (
C) may artificially stimulate fetal movement, affecting test results.
Question 3 of 5
Which of the following is a potential complication of maternal obesity during pregnancy?
Correct Answer: D
Rationale: Maternal obesity can lead to gestational diabetes, preterm labor, and fetal macrosomia.
Question 4 of 5
What is the recommended method of administering erythromycin ointment to a newborn?
Correct Answer: C
Rationale: The correct method for administering erythromycin ointment to a newborn is through topical application. This involves applying the ointment to the newborn's eyes to prevent neonatal conjunctivitis caused by Chlamydia trachomatis and Neisseria gonorrhoeae. Intramuscular and subcutaneous injections are not appropriate for this medication as it is meant for external use only. Oral administration is also not recommended for this particular medication.
Topical application is the most effective and safe method for this specific purpose.
Question 5 of 5
Which of the following is a potential ethical issue related to pain management in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. This is because all the options listed - undertreatment of pain, overtreatment of pain, and use of alternative therapies without informed consent - are potential ethical issues in pain management in maternal and newborn healthcare. Undertreatment can lead to unnecessary suffering, while overtreatment can result in harm or adverse effects. The use of alternative therapies without informed consent violates the principle of autonomy and informed decision-making.
Therefore, considering all these factors, option D encompasses all the possible ethical issues related to pain management in this context.