ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common side effect due to the hormonal changes caused by the drug. It occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not commonly associated with clomiphene citrate use. Tinnitus is more commonly linked to ear problems, urinary frequency may be due to other factors, and chills are not a typical side effect of this medication.
Question 2 of 5
What is the recommended amount of weight gain during pregnancy for a woman with a normal BMI?
Correct Answer: B
Rationale: The correct answer is B (20-30 pounds). This range is recommended for a woman with a normal BMI (18.5-24.9) to ensure a healthy pregnancy. Gaining below 20 pounds may lead to low birth weight, while exceeding 30 pounds increases the risk of complications like gestational diabetes and hypertension. It is important for the mother to gain enough weight to support the baby's growth without putting her health at risk.
Choices A, C, and D are incorrect as they suggest weight gain outside the recommended range, which could potentially harm both the mother and the baby.
Question 3 of 5
Which of the following is a potential benefit of evidence-based practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: Evidence-based practice can improve outcomes, satisfaction, and reduce costs.
Question 4 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The priority intervention is to begin FHR (fetal heart rate) monitoring to ensure the fetus is not in distress after the rupture of membranes. This is critical for fetal well-being.
Question 5 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. Labor induction with oxytocin can lead to uterine overstimulation, increasing the risk of postpartum hemorrhage. Vacuum-assisted delivery can cause trauma to the birth canal and uterus, also increasing the risk. A history of uterine atony indicates a previous inability of the uterus to contract effectively, predisposing the client to postpartum hemorrhage due to poor uterine muscle tone.
Choice B (newborn weight) and E (HPV history) are not directly related to postpartum hemorrhage risk.