ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are absent in a vegan diet. Fortified soy milk is a plant-based alternative that is often fortified with vitamin B12. Raw carrots (
B), fresh citrus fruits (
C), and brown rice (
D) do not contain significant amounts of vitamin B12. The nurse should recommend fortified soy milk as it is a reliable source of vitamin B12 for individuals following a vegan diet.
Question 2 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. This finding indicates respiratory distress in a newborn and requires immediate attention. Substernal retractions suggest that the baby is having difficulty breathing, which can be a sign of a serious problem such as respiratory distress syndrome or pneumonia. The nurse should report this finding to the provider promptly to ensure appropriate intervention and treatment. Acrocyanosis (choice
B) is a common finding in newborns and is considered a normal variant due to immature circulation. Overlapping suture lines (choice
C) can occur in newborns and typically resolve on their own without intervention. A head circumference of 33 cm (13 in) (choice
D) is within the expected range for a newborn and does not raise immediate concerns.
Question 3 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. This is the recommended site for administering vaccines to newborns due to its large muscle mass, which allows for optimal absorption and minimizes the risk of injury to surrounding structures. It is also the preferred site to prevent damage to the sciatic nerve and femoral artery. Options B, C, and D are incorrect because massaging the site vigorously can cause discomfort, inserting the needle at a 45° angle may not reach the muscle in newborns, and using a 21-gauge needle may not be appropriate for newborns.
Question 4 of 5
What is the primary legal responsibility of a nurse or midwife in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nurses and midwives have a legal responsibility to ensure patient safety by following proper protocols and guidelines to prevent harm. They must also maintain patient confidentiality to protect sensitive information. Additionally, providing appropriate care and treatment is crucial for the well-being of both the mother and newborn. Choosing D encompasses all these duties, reflecting the comprehensive legal responsibility of a nurse or midwife in maternal and newborn healthcare. The other options are incorrect because while they represent important aspects of nursing practice, they do not fully capture the complete legal responsibility that nurses and midwives have in this specific context.
Question 5 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Begin FHR monitoring. This is the priority intervention because it allows the nurse to assess the baby's well-being and detect any signs of fetal distress. Monitoring the fetal heart rate is crucial in determining the baby's response to the water breaking. Performing Nitrazine testing (
A) and assessing the fluid (
B) can provide additional information but do not directly assess fetal well-being. Checking cervical dilation (
C) is important but not as urgent as monitoring the FHR in this situation.