ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale:
Correct Answer: D - "Staff members who take care of your baby will be wearing a photo identification badge."
Rationale:
1. Safety and security: This statement promotes safety by ensuring that only authorized staff members are caring for the newborn.
2. Identification: The photo ID badge allows the mother to easily identify who is interacting with her baby.
3. Preventing unauthorized access: It minimizes the risk of unauthorized individuals posing as staff members.
4. Professionalism: Wearing photo ID badges is a standard practice in healthcare settings to ensure accountability and professionalism.
Summary:
A: Incorrect - Carrying the baby to the nursery for procedures may not ensure security and could expose the baby to unnecessary risks.
B: Incorrect - While documenting relationships of visitors is important, it does not directly address the security and safety of the newborn.
C: Incorrect - Co-sleeping with the baby in the hospital bed can pose risks of suffocation or injury, contradicting safety measures.
Question 2 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. After a vaginal birth, the uterus should be midline and firm. Palpating the uterus to the right above the umbilicus indicates a full bladder displacing the uterus. A distended bladder can prevent the uterus from contracting properly, leading to postpartum hemorrhage. By assisting the client to empty their bladder, the nurse helps the uterus contract effectively, reducing the risk of complications. Options A and B are incorrect as they do not address the underlying issue of a full bladder. Option D is incorrect as lying on the right side does not address the bladder distension.
Question 3 of 5
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Frequent breastfeeding stimulates milk production, ensuring an adequate milk supply for the infant.
Question 4 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.
Rationale: Sore nipples in breastfeeding can be caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues, such as shallow latch or incorrect positioning, which can alleviate the discomfort for the mother. This action promotes effective breastfeeding and prevents further nipple soreness.
Incorrect
Choices:
A: Instructing the client to wait 4 hr between daytime feedings is not appropriate as it can lead to engorgement and decrease milk supply.
C: Having the client limit breastfeeding to 5 min per breast can hinder milk production and may not address the underlying latch issue causing sore nipples.
D: Offering supplemental formula is not necessary and can interfere with establishing breastfeeding and milk supply.
Question 5 of 5
A nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: A
Rationale: Contractions every 5 minutes lasting 30 seconds are inadequate for labor progression, indicating the need to increase oxytocin infusion to strengthen contractions.