ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: B, C, D, A
Rationale: Leopold maneuvers should be performed in the following sequence: palpate the fundus, determine the location of the fetal back, palpate for the fetal part presenting at the inlet, and identify the attitude of the head.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:|
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.
Exhibit 4
Medical History
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy. Maternal use of marijuana during
pregnancy
Client who gave birth plans to breastfeed.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.
Rationale: The correct actions to take are placing newborn skin to skin and encouraging breastfeeding to address potential condition of acute bilirubin encephalopathy. Monitoring temperature and bilirubin levels is crucial for assessing the client's progress in managing this condition. This approach is supported by evidence-based practice in neonatal care to promote bonding, breastfeeding, and early detection of jaundice-related complications.
Choice A includes appropriate actions to promote bonding and breastfeeding but does not specifically address the potential condition of bilirubin encephalopathy.
Choice C includes relevant parameters to monitor but does not align with the specific actions needed for acute bilirubin encephalopathy.
Extract:
Question 3 of 5
Which of the following is a potential complication of maternal hypertension during pregnancy?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Maternal hypertension during pregnancy can lead to preterm labor due to uteroplacental insufficiency, fetal growth restriction as the placenta may not provide adequate nutrients and oxygen to the fetus, and placental abruption due to increased risk of vascular damage. These complications can have serious consequences for both the mother and the fetus.
Choices A, B, and C are all potential complications associated with maternal hypertension, making option D the correct choice.
Question 4 of 5
Which of the following is a potential complication of hypoglycemia in a newborn?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Hypoglycemia in a newborn can lead to hypothermia due to decreased energy production, hyperbilirubinemia as a result of increased breakdown of red blood cells, and respiratory distress syndrome due to compromised lung function. All these complications are interconnected and can occur simultaneously in a newborn with hypoglycemia, highlighting the importance of prompt diagnosis and management.
Choices A, B, and C are incorrect because they do not encompass the comprehensive range of potential complications associated with hypoglycemia in a newborn.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.
Exhibit 2: Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Question 5 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
| Findings 30 min later | Unrelated to diagnosis | Indication Of potential improvement | Indication of Potential worsening condition |
|---|---|---|---|
| Fundus at level of umbilicus | |||
| Cloudy urine | |||
| Blood pressure 80/50 mm Hg | |||
| Moderate lochia rubra | |||
| Thready pulse | |||
| Fundus firm to palpation |
Correct Answer:
Rationale: Findings indicating improvement: Fundus at umbilicus, Moderate lochia rubra, Fundus firm to palpation Findings indicating worsening: Blood pressure 80/50 mm Hg, Thready pulse Unrelated finding: Cloudy urine Clinical Implication: The nurse should urgently address the low blood pressure and thready pulse, as they indicate ongoing hemodynamic instability due to postpartum hemorrhage. Immediate interventions such as IV fluids, blood transfusion, and further uterotonic medications may be necessary.