ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: At 12 weeks of gestation, the fetal heart rate is best assessed by placing the ultrasound stethoscope above the symphysis pubis, where the uterus is located.
Question 2 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making the finger stick less painful for the client. Puncturing the finger while still damp with antiseptic solution (
A) can dilute the blood sample. Smearing blood onto the reagent strip (
B) can cause inaccurate results. Holding the finger above the heart prior to puncture (
C) can increase blood flow and dilute the sample.
Therefore, selecting the lateral side of the finger for puncture (
D) is the best option for obtaining an accurate 2-hr postprandial blood glucose measurement.
Question 3 of 5
Which of the following is a potential complication of a vaginal delivery?
Correct Answer: A
Rationale: The correct answer is A: Shoulder dystocia. This occurs when the baby's shoulder gets stuck behind the mother's pubic bone during delivery. It can lead to serious complications for both the mother and the baby, such as brachial plexus injuries and postpartum hemorrhage. Shoulder dystocia requires immediate intervention to prevent further complications. Placenta previa (
B) is a condition where the placenta blocks the cervix, but it is not a direct complication of vaginal delivery. Umbilical cord prolapse (
C) and cephalopelvic disproportion (
D) are also potential issues during delivery but do not specifically relate to vaginal delivery complications.
Question 4 of 5
Which of the following is a potential complication of a postpartum hemorrhage?
Correct Answer: A
Rationale: Postpartum hemorrhage can lead to disseminated intravascular coagulation (DI
C), a serious condition where blood clotting is disrupted.
Question 5 of 5
Which of the following is a potential complication of a retained placenta?
Correct Answer: B
Rationale: The correct answer is B: Postpartum hemorrhage. A retained placenta can lead to postpartum hemorrhage due to incomplete delivery of the placenta, causing excessive bleeding. Preeclampsia is a separate condition characterized by high blood pressure and can occur during pregnancy but is not directly caused by a retained placenta. Gestational diabetes is a condition of high blood sugar during pregnancy, unrelated to a retained placenta.
Choice D, "All of the above," is incorrect as not all options are potential complications of a retained placenta.