ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. This instruction is important to ensure the newborn is receiving adequate nutrition and to establish a proper breastfeeding routine. Feeding on demand helps maintain the baby's hydration and growth. Option A is incorrect as newborns should feed until they are satisfied, not on a strict time limit. Option B is incorrect as water is not recommended for newborns as it can interfere with breast milk intake. Option C is incorrect as newborns should have more than 4 wet diapers a day.
Question 2 of 5
What is the recommended method of screening for gestational diabetes during pregnancy?
Correct Answer: C
Rationale: The oral glucose tolerance test (OGTT) is the standard method for screening gestational diabetes during pregnancy.
Question 3 of 5
A nurse in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment is crucial as it can indicate underlying health issues. Vaginal discharge and dyspareunia could suggest infections or reproductive health concerns. Monitoring temperature is essential to detect potential infections. Heart rate can be important, but in this case, it may not be as urgent unless it is significantly abnormal. Condom usage is relevant for assessing the adolescent's sexual health practices. Reporting these findings ensures comprehensive care and early intervention if needed.
Question 4 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. Labor induction with oxytocin can lead to uterine overstimulation, increasing the risk of postpartum hemorrhage. Vacuum-assisted delivery can cause trauma to the birth canal and uterus, also increasing the risk. A history of uterine atony indicates a previous inability of the uterus to contract effectively, predisposing the client to postpartum hemorrhage due to poor uterine muscle tone.
Choice B (newborn weight) and E (HPV history) are not directly related to postpartum hemorrhage risk.
Question 5 of 5
What is the primary goal of culturally competent care in maternal and newborn healthcare?
Correct Answer: B
Rationale: The correct answer is B:
To promote health equity. Culturally competent care aims to ensure all individuals receive care that is respectful of and responsive to their cultural beliefs and practices. By promoting health equity, healthcare providers can address disparities in healthcare outcomes among diverse populations.
Choice A is incorrect because cultural competence values and respects cultural differences instead of eliminating them.
Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's.
Choice D is incorrect as it inaccurately suggests that all options are equally important, when in reality, promoting health equity is the primary goal.