ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: Depression is a known adverse effect of combined oral contraceptives due to the hormonal changes they induce.
Question 2 of 5
Which of the following is a potential complication of maternal obesity during pregnancy?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Maternal obesity during pregnancy can lead to gestational diabetes due to insulin resistance, preterm labor due to increased risk of inflammation and uterine contractions, and placental abruption due to compromised blood flow to the placenta. This comprehensive answer reflects the various potential complications associated with maternal obesity, making it the correct choice.
Choices A, B, and C are incorrect individually because they only address one potential complication each, whereas the correct answer encompasses all possible complications.
Extract:
A nurse is caring for a client who is in labor.
Exhibit1
Nurses' Notes
0900:
Contractions occurring every 3 to 4 min, lasting 80 to 90
seconds. Client rates pain with contractions as 10 on a scale of 0
to 10 and requests an epidural. Contractions approximately 4
min apart. Vaginal examination reveals cervix dilated 5 cm. 80%
effaced, -1 station, vertex presentation. FHR baseline 142/min
with moderate variability. IV fluid bolus initiated.
0930:
Epidural inserted by anesthesiology. Client reports pain as 2 on
a scale of 0 to 10.
0950.
Spontaneous rupture of membranes with clear fluid
1000:
Variable decelerations noted on the electronic fetal heart rate
monitor tracing, FHR baseline 140/min. Deceleration 90/min,
lasting 30 seconds. Loop of umbilical cord visible at vaginal introitus
Question 3 of 5
Select the 5 actions the nurse should take
Correct Answer: A,B,C,D,F
Rationale: A prolapsed umbilical cord is a life-threatening emergency requiring immediate intervention to relieve cord compression and restore fetal oxygenation. The priority actions are:
Notify the provider
Reposition the client (Trendelenburg or knee-chest)
Manually relieve pressure on the cord
Administer oxygen
Increase IV fluids for better circulation
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.
Question 4 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:
Extract:
Question 5 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.