ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: The correct answer is C because positioning the car seat at a 45-degree angle is crucial for newborns to prevent their head from falling forward and compromising their airway. This angle helps maintain proper breathing and spinal alignment.
Choices A, B, and D are incorrect because using a sleep sack in the car seat can interfere with harness fit, a car seat challenge test is typically done for preterm babies, and turning the car seat forward-facing before the baby is at least 2 years old is unsafe.
Extract:
A nurse on a postpartum unit is caring for a client.
Exhibit 1
Vital Signs
Postpartum Day 3, 0815:
Temperature 38.2° C (100.8° F)
Heart rate 104/min|
Respiratory rate 18/min
BP 108/70 mm Hg
SaO2, 979 on room air
Question 2 of 5
For each finding, click to specity if the finding increases the client's risk for uterine atony or infection.
| finding | Uterine Atony | Infection |
|---|---|---|
| Prenatal anemia | ||
| High parity | ||
| Prolonged rupture of membranes | ||
| Cesarean birth | ||
| Polyhydramnios |
Correct Answer:
Rationale:
Extract:
Question 3 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: B, C, D, A
Rationale: Leopold maneuvers should be performed in the following sequence: palpate the fundus, determine the location of the fetal back, palpate for the fetal part presenting at the inlet, and identify the attitude of the head.
Question 4 of 5
What is the function of the cervix during pregnancy?
Correct Answer: A
Rationale: The correct answer is A:
To secrete mucus that prevents infection. The cervix acts as a barrier to protect the fetus from potential infections entering the uterus. The mucus produced by the cervix forms a plug that blocks the entry of harmful bacteria, reducing the risk of infection reaching the developing fetus.
Choices B, C, and D are incorrect because the cervix primarily functions to provide a protective barrier against infections during pregnancy, rather than solely protecting the fetus from trauma, regulating fetal temperature, or encompassing all functions mentioned in the other options.
Question 5 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the umbilical cord, which can lead to fetal distress and compromise blood flow. By covering the cord with a sterile saline-saturated towel, the nurse can protect it from drying out and reduce the risk of infection. Additionally, this intervention helps maintain a moist environment for the cord until emergency measures are taken. Performing a vaginal examination (
Choice
A) can further worsen the situation by causing more pressure on the cord. Administering oxygen (
Choice
C) and initiating IV fluids (
Choice
D) are important interventions but should follow the immediate action of covering the cord.