ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial in preventing infection, as the leaking cerebrospinal fluid puts the newborn at risk for meningitis. Antibiotics help reduce the risk of infection until surgical closure can be performed. Monitoring rectal temperature (
B) is important but not the priority. Cleansing the site with povidone-iodine (
C) may further irritate the area. Planning for surgical closure after 72 hr (
D) is important, but immediate infection prevention is the priority.
Question 2 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches.
To protect the newborn's eyes from potential damage due to phototherapy light, it is essential to close the eyes before placing eyepatches. This prevents exposure to the bright light, reducing the risk of eye irritation or injury. Providing glucose water (
A), turning the newborn every 4 hours (
B), and applying hydrating lotion (
C) are not directly related to the phototherapy treatment for jaundice. Closing the eyes before applying eyepatches is crucial for the safety and comfort of the newborn during the phototherapy session.
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." After giving birth, a woman's body goes through changes, including weight loss, which can affect the fit and effectiveness of the diaphragm. It is essential for the client to be refitted by a healthcare provider to ensure proper fit and efficacy of the contraception.
Choice B is incorrect because oil-based lubricants can damage the diaphragm material.
Choice C is incorrect because diaphragms should be kept in place for at least 6 hours after intercourse.
Choice D is incorrect because diaphragms should be stored in a cool, dry place, not in sterile water.
Question 4 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can exacerbate pain, increase the risk of infection, and hinder the healing process. The suppository insertion may disrupt the delicate tissue, leading to further trauma and complications. It is crucial to allow the perineal area to heal properly without additional irritation.
Choices A, B, and C are not contraindications to the use of a suppository for constipation in a postpartum client. Vaginal candidiasis, abdominal distention, and afterpains do not directly impact the safety or effectiveness of suppository use in this scenario.
Question 5 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: 8 tablets.
To calculate the correct dosage, divide the total dose by the dose per tablet. In this case, 2 g = 2000 mg, and each tablet is 250 mg.
Therefore, 2000 mg ÷ 250 mg = 8 tablets. This ensures the client receives the correct dosage for effective treatment.
Choice B (4 tablets) would result in an underdose, C (2 tablets) would be half the required dose, and D (1 tablet) would be significantly lower than the needed dose, leading to ineffective treatment.