ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 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 saliva and urine of the newborn. This is important for nurses to understand in order to prevent transmission to other infants and staff.
Choice A is incorrect as acyclovir is used for herpes simplex virus, not cytomegalovirus.
Choice C is incorrect because lesions are not typically visible in maternal cytomegalovirus.
Choice D is incorrect as airborne precautions are not required for cytomegalovirus.
Question 2 of 5
What is the recommended method of screening for Down syndrome during pregnancy?
Correct Answer: A
Rationale: The recommended method for screening for Down syndrome during pregnancy is maternal serum screening. This test measures specific hormones and proteins in the mother's blood to assess the risk of chromosomal abnormalities in the fetus. It is a non-invasive and low-risk option that can be done early in pregnancy. Fetal ultrasound (
B) is used to evaluate fetal growth and anatomy but is not specific for Down syndrome screening. Chorionic villus sampling (
C) and amniocentesis (
D) are diagnostic tests that involve sampling fetal tissue and carry a higher risk of complications compared to maternal serum screening.
Question 3 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining commonly occurring postpartum. Uterine tenderness is a classic sign, indicating inflammation and infection in the uterus. This can be assessed by palpating the uterus gently.
A: Temperature 37.4°C (99.3°F) - Slightly elevated temperature is common in postpartum period, but a higher fever is more indicative of infection.
B: WBC count 9,000/mm3 - Normal WBC count does not rule out infection, as localized infections like endometritis may not cause a significant rise in WBC count.
D: Scant lochia - Scant lochia may be seen in normal postpartum period, but in endometritis, lochia may be increased and foul-smelling due to infection.
Question 4 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 5 of 5
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Correct Answer: B
Rationale: Leakage of fluid from the vagina after an amniocentesis may indicate rupture of the amniotic membranes, which is a potential complication that requires immediate medical attention.