ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Correct Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is a critical safety measure to prevent errors in newborn identification.
Question 2 of 5
What is the primary responsibility of a nurse or midwife in advocating for patient and family-centered care in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nurses and midwives play a crucial role in advocating for patient and family-centered care in maternal and newborn healthcare.
A: Promoting shared decision-making ensures that patients and families are actively involved in their care decisions.
B: Ensuring patient privacy and confidentiality promotes trust and respect between healthcare providers and patients.
C: Providing evidence-based care guarantees that patients receive the most effective and safe treatments based on the latest research.
By combining all these responsibilities, nurses and midwives can truly advocate for the best interests of patients and families, making D the correct choice.
Question 3 of 5
What is the recommended method of screening for gestational diabetes?
Correct Answer: C
Rationale: The correct answer is C: Oral glucose tolerance test (OGTT) is the recommended method for screening gestational diabetes. OGTT involves measuring blood glucose levels after fasting and again 1-2 hours after consuming a glucose drink. This test is considered the gold standard for diagnosing gestational diabetes as it provides a more comprehensive assessment of glucose tolerance compared to other methods.
A: Random blood glucose test is not recommended for screening as it does not provide a reliable indication of glucose tolerance.
B: Fasting blood glucose test only provides a snapshot of glucose levels at a specific point in time and may miss cases of gestational diabetes.
D: Hemoglobin A1C test measures average blood glucose levels over several months and is not specific for diagnosing gestational diabetes.
In summary, OGTT is preferred for its ability to detect gestational diabetes accurately by assessing glucose tolerance levels before and after consuming a glucose load, making it the most appropriate screening method.
Question 4 of 5
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to ambulate to the bathroom. This is the appropriate initial action for the nurse to take because post-cesarean birth, the client may have difficulty urinating due to anesthesia effects or discomfort. Ambulation can help stimulate the bladder and promote urine voiding. Inserting a urinary catheter (
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
C) is a non-invasive way to assess for urinary retention, but ambulation should be attempted first. Administering a diuretic (
D) is not indicated without confirming urinary retention first.
Question 5 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. This instruction is important to ensure the newborn is receiving adequate nutrition and to establish a proper breastfeeding routine. Feeding on demand helps maintain the baby's hydration and growth. Option A is incorrect as newborns should feed until they are satisfied, not on a strict time limit. Option B is incorrect as water is not recommended for newborns as it can interfere with breast milk intake. Option C is incorrect as newborns should have more than 4 wet diapers a day.