ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D, "Wash your baby’s face with plain water." This instruction is important to prevent irritation or infection on the baby's delicate skin. Washing the baby's face with plain water is gentle and safe.
Rationale:
1. Bathing the baby immediately after a feeding (Option
A) is not recommended as it can lead to discomfort and potential regurgitation.
2. Placing a bumper pad in the baby's crib (Option
B) poses a suffocation risk and is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
3. Putting a soft mattress in the baby's crib (Option
C) increases the risk of suffocation and SIDS. Firm mattresses are recommended for safe sleep.
In summary, washing the baby's face with plain water is the correct instruction as it promotes good hygiene without risking harm to the baby. The other options are incorrect as they pose safety risks or are not recommended practices for newborn care
Question 2 of 5
Which of the following is a potential complication of a breech delivery?
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. In a breech delivery, where the baby is positioned feet or buttocks first, there is an increased risk of birth trauma due to potential difficulties in delivering the baby's head, leading to possible injuries such as fractures or nerve damage. Fetal distress and maternal hemorrhage can also occur but are not exclusive complications of breech delivery.
Choice D, "All of the above," is incorrect as not all potential complications of a breech delivery are listed.
Question 3 of 5
Which of the following is a potential barrier to effective interprofessional collaboration in maternal and newborn healthcare?
Correct Answer: D
Rationale: Barriers to interprofessional collaboration include hierarchical structures, lack of understanding of roles, and limited resources.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the client’s condition to the local health department. This action is important to ensure appropriate monitoring, follow-up, and prevention of transmission of HIV to others. Reporting to the health department will also help in tracking and managing the client's condition.
Incorrect choices:
A: Administering penicillin G is not indicated for managing HIV.
B: Annual pelvic examination is not directly related to managing HIV in pregnancy.
C: Starting HIV medication immediately after delivery may not be the most appropriate course of action for the client's health.
Summarized rationale: Reporting the client's condition to the health department is crucial for proper management and prevention of HIV transmission.
Question 5 of 5
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. Frequent vomiting with weight loss of 3 lb in 1 week should be reported because it could indicate hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration and electrolyte imbalances, potentially harming the fetus. This is a significant concern that requires medical attention.
B: Reports of mood swings are common during pregnancy due to hormonal changes and are not typically a cause for immediate concern.
C: Nosebleeds occurring 3 times per week are common in pregnancy due to increased blood volume and hormonal changes, usually not a significant issue.
D: Increased vaginal discharge is a common pregnancy symptom caused by hormonal changes and increased blood flow to the pelvic area, usually not a cause for alarm at this stage.