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 digoxin in a pregnant client. Serum medication levels provide an objective measure of how much of the drug is present in the body, indicating if the client is taking the medication as prescribed. Asking the client directly (choice
A) may not always yield accurate information. Assessing kidney function (choice
B) is important for monitoring potential side effects of digoxin but does not directly assess medication adherence. Determining the apical pulse rate (choice
C) is important for monitoring digoxin therapy but does not evaluate medication adherence.
Question 2 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. Amniocentesis is a diagnostic test that involves taking a sample of the amniotic fluid, which can be analyzed for genetic abnormalities like Down syndrome. It is typically performed between 15-20 weeks of gestation, not based on maternal age.
Choice A is incorrect as there is no age requirement for amniocentesis.
Choice C is incorrect as chorionic villus sampling is a different procedure used for genetic testing earlier in pregnancy.
Choice D is incorrect as amniocentesis is a planned procedure that requires preparation and scheduling, not something to be done on the same day.
Question 3 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B because cytomegalovirus can be transmitted through bodily fluids like saliva and urine. This is important for the nurses to understand as they care for newborns who may be infected. The other choices are incorrect because:
A) Acyclovir is used for herpes simplex virus, not cytomegalovirus,
C) Lesions are not typically visible with cytomegalovirus,
D) Airborne precautions are not required for cytomegalovirus, and the other choices are not provided.
Question 4 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils contain around 15.6 grams of fiber per cup, making them an excellent choice to alleviate constipation. Oatmeal, cabbage, and asparagus have lower fiber content per cup compared to lentils. Oatmeal contains around 4 grams of fiber per cup, cabbage has about 2.2 grams, and asparagus has approximately 2.8 grams.
Therefore, lentils are the best choice for increasing fiber intake to help with constipation during pregnancy.
Question 5 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. Breastfeeding newborns frequently helps establish milk supply and ensures the baby receives enough nutrients. Waiting longer than 3 hours between feeds may lead to issues like dehydration or poor weight gain.
Choice A is too time-specific and may not allow the baby to feed adequately.
Choice B is incorrect as newborns should only be fed breastmilk, not water.
Choice C is too vague and may not reflect adequate feeding.