ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse who is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Correct Answer: C
Rationale: Administering Rh(0) Immune globulin is a priority for Rh-negative clients after amniocentesis to prevent Rh sensitization, which can occur if fetal blood enters the maternal circulation.
Question 2 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. This finding indicates respiratory distress in a newborn and requires immediate attention. Substernal retractions suggest that the baby is having difficulty breathing, which can be a sign of a serious problem such as respiratory distress syndrome or pneumonia. The nurse should report this finding to the provider promptly to ensure appropriate intervention and treatment. Acrocyanosis (choice
B) is a common finding in newborns and is considered a normal variant due to immature circulation. Overlapping suture lines (choice
C) can occur in newborns and typically resolve on their own without intervention. A head circumference of 33 cm (13 in) (choice
D) is within the expected range for a newborn and does not raise immediate concerns.
Question 3 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Pressing the handheld button when the client feels fetal movement helps to correlate fetal movements with changes in the fetal heart rate, which is the purpose of the nonstress test.
Question 4 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making the finger stick less painful for the client. Puncturing the finger while still damp with antiseptic solution (
A) can dilute the blood sample. Smearing blood onto the reagent strip (
B) can cause inaccurate results. Holding the finger above the heart prior to puncture (
C) can increase blood flow and dilute the sample.
Therefore, selecting the lateral side of the finger for puncture (
D) is the best option for obtaining an accurate 2-hr postprandial blood glucose measurement.
Question 5 of 5
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?
Correct Answer: D
Rationale: Contractions can indicate preterm labor, a potential complication following amniocentesis. Vomiting, hypertension, and epigastric pain are less directly related to the procedure.