ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A,C
Rationale: The correct answers for the administration of oxytocin postpartum are A and C. A flaccid uterus indicates poor uterine tone, which can lead to postpartum hemorrhage. Oxytocin helps in uterine contraction, reducing bleeding. Excess vaginal bleeding is also an indication for oxytocin administration to aid in uterine contraction and control bleeding.
Choices B, D, and the other options are incorrect. Cervical laceration and increased afterbirth cramping are not direct indications for oxytocin administration.
Question 2 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.
Question 3 of 5
Which of the following is a potential complication of gestational diabetes?
Correct Answer: D
Rationale: Gestational diabetes can lead to polyhydramnios, preterm labor, and neonatal hypoglycemia.
Question 4 of 5
Which hormone is responsible for stimulating the growth and development of the ovarian follicles?
Correct Answer: C
Rationale: The correct answer is C: Follicle-stimulating hormone (FSH). FSH is responsible for stimulating the growth and development of ovarian follicles by promoting the recruitment and maturation of follicles in the ovaries. It plays a crucial role in the menstrual cycle and is essential for the production of estrogen. Estrogen, choice A, is produced as a result of FSH action on the ovarian follicles. Progesterone, choice B, is produced after ovulation by the corpus luteum and is not directly involved in follicle growth. Luteinizing hormone (LH), choice D, triggers ovulation but does not stimulate follicle development.
Question 5 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return by reducing pressure on the vena cava, thus increasing cardiac output and blood pressure. It prevents supine hypotensive syndrome.
B: Applying oxygen won't directly address hypotension caused by epidural anesthesia.
C: Massaging the fundus is not relevant for treating hypotension related to epidural anesthesia.
D: Assisting the client to empty the bladder may be needed, but it won't directly address hypotension.