ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring serum levels is crucial to ensure the medication is being taken as prescribed. By checking the client's serum medication level, the nurse can accurately assess if the client is adhering to the prescribed regimen. Asking the client if they are taking the medication as prescribed (choice
A) relies on self-reporting, which may not always be accurate. Assessing kidney function (choice
B) is important for monitoring digoxin but does not directly evaluate medication adherence. Determining the client’s apical pulse rate (choice
C) is important but does not provide a direct measure of medication adherence.
Question 2 of 5
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale:
Correct Answer: C - Hypotension
Rationale:
1. Opioid analgesics can cause vasodilation leading to hypotension.
2. Epidural administration can further potentiate the hypotensive effect.
3. Monitoring for hypotension is crucial to prevent complications like decreased perfusion.
Incorrect
Choices:
A: Hyperglycemia - Opioids are not known to cause hyperglycemia.
B: Bilateral crackles - Indicates pulmonary issues, not related to opioids.
D: Polyuria - Not a common adverse effect of opioids.
Question 3 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because emptying the bladder before amniocentesis helps reduce the risk of injury to the bladder during the procedure.
Choice B is incorrect because the client will typically lie on their back during amniocentesis.
Choice C is incorrect because the client is usually awake during the procedure.
Choice D is incorrect because fasting is not typically required before amniocentesis.
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.
Exhibit 4
Medical History
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy. Maternal use of marijuana during
pregnancy
Client who gave birth plans to breastfeed.
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: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.
Rationale: The correct actions to take are placing newborn skin to skin and encouraging breastfeeding to address potential condition of acute bilirubin encephalopathy. Monitoring temperature and bilirubin levels is crucial for assessing the client's progress in managing this condition. This approach is supported by evidence-based practice in neonatal care to promote bonding, breastfeeding, and early detection of jaundice-related complications.
Choice A includes appropriate actions to promote bonding and breastfeeding but does not specifically address the potential condition of bilirubin encephalopathy.
Choice C includes relevant parameters to monitor but does not align with the specific actions needed for acute bilirubin encephalopathy.
Extract:
Question 5 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in late preterm newborns can lead to inadequate glucose supply to the respiratory muscles, causing respiratory distress. Hypertonia (
A) is not a typical sign of hypoglycemia. Increased feeding (
B) is a compensatory response to hypoglycemia. Hyperthermia (
C) is not a common manifestation of hypoglycemia.