ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation is a procedure that blocks the fallopian tubes, preventing the egg from reaching the uterus for fertilization.
Therefore, ovulation still occurs, but the egg cannot travel to the uterus. This statement indicates an understanding of the procedure.
A: Premenstrual tension may still occur as tubal ligation does not affect hormone levels.
B: The length of menstrual periods is not directly affected by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation as it does not affect hormone production.
In summary, understanding that ovulation continues after tubal ligation is crucial for effective contraception.
Question 2 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Monitoring the client's blood pressure every 5 minutes after the first dose of anesthetic solution is essential to detect and manage hypotension, a common side effect of epidural anesthesia.
Question 3 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. This is because a uterus palpated to the right above the umbilicus 12 hours post-vaginal birth indicates a full bladder displacing the uterus. Emptying the bladder will help the uterus to return to its normal position and prevent uterine atony or excessive bleeding.
Choice A: Reassessing in 2 hours is not appropriate as immediate intervention is needed.
Choice B: Administering simethicone is not relevant to the situation described.
Choice D: Instructing the client to lie on their right side does not address the underlying issue of a full bladder.
Question 4 of 5
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. This is recommended for pain relief during labor in high-risk pregnancies as it provides effective pain relief while allowing the woman to remain alert and participate in labor. Epidural anesthesia can be adjusted as needed and does not affect the baby's heart rate. Spinal anesthesia is typically used for cesarean sections and may not be ideal for labor pain management. Intravenous opioids can cross the placenta and affect the baby's breathing and heart rate.
Choice D is incorrect because not all methods are recommended for high-risk pregnancies.
Question 5 of 5
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to ambulate to the bathroom. This is the appropriate initial action for the nurse to take because post-cesarean birth, the client may have difficulty urinating due to anesthesia effects or discomfort. Ambulation can help stimulate the bladder and promote urine voiding. Inserting a urinary catheter (
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
C) is a non-invasive way to assess for urinary retention, but ambulation should be attempted first. Administering a diuretic (
D) is not indicated without confirming urinary retention first.