ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can potentially cause further trauma and delay healing. This area needs to be protected to prevent infection and promote proper healing.
A: Vaginal candidiasis is not a contraindication for using a suppository.
B: Abdominal distention does not directly contraindicate the use of a suppository.
C: Afterpains are common postpartum and do not prevent the use of a suppository.
In summary, the other choices are incorrect because they do not pose immediate risks to the client's health or interfere with the administration of a suppository as compared to a third-degree perineal laceration.
Question 2 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This action is essential to protect the newborn's eyes from the phototherapy light, which can be harmful. Closing the eyes with eyepatches helps prevent potential damage to the retina. Providing glucose water (
A) is not relevant to phototherapy for jaundice. Turning the newborn (
B) every 4 hours is important for preventing pressure ulcers but is not directly related to phototherapy. Applying hydrating lotion (
C) is unnecessary and may interfere with the effectiveness of the phototherapy.
Question 3 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: Epigastric pain in a pregnant client can be a sign of preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical attention.
Question 4 of 5
Which stage of labor is characterized by cervical dilation from 4-10 cm?
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor is divided into latent phase (0-3 cm dilated) and active phase (4-10 cm dilated). The active phase specifically involves the rapid dilation of the cervix from 4-10 cm. This is when contractions become stronger and closer together, leading to the cervix opening fully for delivery. The other choices are incorrect because the second stage is characterized by the actual birth of the baby, the third stage is delivery of the placenta, and the fourth stage is the immediate postpartum period.
Question 5 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.