ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D
Rationale: Correct Order: A, B, C, D
Rationale:
A) Instructing the client to empty their bladder is crucial to provide a clear assessment of the uterus and fetal parts.
B) Positioning the client supine with knees flexed and a towel under one hip promotes relaxation and facilitates palpation.
C) Palpating the fetal part in the fundus helps determine the presentation and position of the baby.
D) Palpating the fetal parts along both sides of the uterus allows the nurse to assess for consistency, location, and engagement.
Summary:
E, F, G are not applicable as they do not contribute to the sequential order of Leopold maneuvers. A, B, C, D are essential steps for a systematic and accurate assessment of fetal position and presentation.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
Question 2 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, r candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal assessment | |||
| Vaginal discharge | |||
| Heart rate | |||
| Temperature | |||
| Dyspareunia | |||
| Condom usage |
Correct Answer: A,B,D,E,F
Rationale: Abdominal assessment, vaginal discharge, temperature, dyspareunia, and condom usage are critical findings that may indicate infections, sexually transmitted diseases, or other health concerns requiring provider evaluation.
Extract:
Question 3 of 5
What is the recommended method of screening for group B streptococcus during pregnancy?
Correct Answer: A
Rationale: Culture of a vaginal swab is the recommended method for screening for group B streptococcus during pregnancy.
Question 4 of 5
Which of the following is a potential complication of neonatal respiratory distress syndrome?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal respiratory distress syndrome can lead to complications like hypoglycemia due to increased metabolic demand, pneumonia due to compromised lung function, and patent ductus arteriosus due to pulmonary hypertension. Choosing A, B, or C alone would be incorrect as each complication can potentially arise in neonates with respiratory distress syndrome.
Question 5 of 5
What is the role of the fallopian tubes in fertilization?
Correct Answer: C
Rationale: The correct answer is C: Transport of ova to the uterus. The fallopian tubes serve as the site of fertilization where the sperm meets the egg. They provide a pathway for the egg to travel from the ovary to the uterus for implantation. Production of ova (
A) occurs in the ovaries, not the fallopian tubes. Production of sperm (
B) happens in the testes, not the female reproductive system. Transport of sperm to the uterus (
D) occurs through the vas deferens, not the fallopian tubes.