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 inducing ovulation. Breast tenderness is a common adverse effect due to the hormonal changes it causes in the body. This is important for the nurse to include in the teaching as it helps the client anticipate and manage this side effect. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use and are less likely to be relevant to discuss with the client in this context.
Question 2 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale: The correct answer is D:
To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for immediate skin-to-skin contact and bonding between the newborn and parent, promoting attachment and emotional connection. This is a crucial aspect of postnatal care and has long-term benefits for the newborn's emotional and psychological development.
Choices A, B, and C are incorrect because delaying antibiotic ointment instillation for reasons such as identifying infection, low birth weight, or mode of delivery could potentially result in harm to the newborn by not providing immediate protection against eye infections, which can be serious and lead to vision impairment.
Question 3 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 4 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 5 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.