ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should increase my protein intake to 60 grams each day." This is the correct answer because protein is essential for fetal development and maternal health during pregnancy. Protein helps in the growth of the baby's tissues and organs. The recommended daily protein intake during pregnancy is higher than usual, around 71 grams per day.
Therefore, increasing protein intake to 60 grams is a good indication that the client understands the importance of adequate protein during pregnancy.
Choice B is incorrect because while hydration is important during pregnancy, there is no specific recommended daily intake of 2 liters of water.
Choice C is incorrect because increasing overall caloric intake by 300 calories is a general recommendation for the second and third trimesters, not necessarily at 10 weeks of gestation.
Choice D is incorrect because while folic acid is important during pregnancy to prevent birth defects, the recommended daily intake is 400-800 micrograms, not specifically 600 micrograms.
Question 2 of 5
Which of the following is a potential complication of a cesarean delivery?
Correct Answer: D
Rationale: Cesarean delivery can lead to maternal infection, neonatal respiratory distress, and postoperative hemorrhage.
Question 3 of 5
Which of the following hormones is responsible for maintaining the uterine lining during pregnancy?
Correct Answer: A
Rationale: Progesterone is responsible for maintaining the uterine lining during pregnancy, supporting the developing fetus.
Question 4 of 5
Which of the following is a potential ethical issue related to neonatal palliative care?
Correct Answer: A
Rationale: A key ethical issue in neonatal palliative care is the decision to withhold or withdraw life-sustaining treatment.
Question 5 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining commonly occurring postpartum. Uterine tenderness is a classic sign, indicating inflammation and infection in the uterus. This can be assessed by palpating the uterus gently.
A: Temperature 37.4°C (99.3°F) - Slightly elevated temperature is common in postpartum period, but a higher fever is more indicative of infection.
B: WBC count 9,000/mm3 - Normal WBC count does not rule out infection, as localized infections like endometritis may not cause a significant rise in WBC count.
D: Scant lochia - Scant lochia may be seen in normal postpartum period, but in endometritis, lochia may be increased and foul-smelling due to infection.