ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 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 number of tablets needed, divide the total dose (2g = 2000mg) by the strength of each tablet (250mg). 2000mg/250mg = 8 tablets. The other choices are incorrect because they do not result in the correct total dose required for treatment. B: 4 tablets would only provide 1000mg, which is half the required dose. C: 2 tablets would only provide 500mg, which is a quarter of the required dose. D: 1 tablet would only provide 250mg, which is only an eighth of the required dose.
Therefore, the correct choice is to administer 8 tablets to achieve the necessary 2g dose for effective treatment of trichomoniasis.
Question 2 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding can indicate a potential genetic abnormality or chromosomal disorder, such as Down syndrome. The nurse should report this to the provider for further evaluation and appropriate management. Single palmar creases are not a typical finding in a full-term newborn and can be a significant indicator of an underlying condition.
The other choices are incorrect because:
B: Down syndrome is a potential consequence of having single palmar creases, but it is not the clinical finding that should be reported.
C: Rust-stained urine is not typically a concerning finding in a newborn and does not require immediate reporting.
D: Transient circumoral cyanosis is common in newborns and usually resolves on its own without intervention.
E: Subconjunctival hemorrhage is a common and benign finding in newborns due to the pressure changes during delivery and does not typically require immediate reporting.
Question 3 of 5
Which of the following is a potential complication of a nuchal cord?
Correct Answer: A
Rationale: The correct answer is A: Fetal distress. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. This can potentially lead to decreased blood flow and oxygen supply to the baby, resulting in fetal distress. Maternal hemorrhage and amniotic fluid embolism are not direct complications of a nuchal cord.
Therefore, the correct answer is A as it directly relates to the potential consequence of a nuchal cord.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reporting the client's HIV status to the local health department is required by law to ensure proper public health monitoring and intervention.
Question 5 of 5
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?
Correct Answer: D
Rationale: Contractions can indicate preterm labor, a potential complication following amniocentesis. Vomiting, hypertension, and epigastric pain are less directly related to the procedure.