ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
The nurse continues to care for the client who is at 30 weeks or
gestation.
Exhibit 2
Assessment
1000:
Client is Gravida 1 Para 0 and reports headache, nausea.
vomiting, and right upper abdominal pain.
Client is alert and oriented, appears restless. Client has gained
0.68 kg (1.5 lb) within the last week. Slight facial edema is
present. Heart rate regular and without murmur. Respirations
even, non-labored. Lungs clear to auscultation. Abdomen
gravid. Fundal height measurement 29 cm. 1+ dependent
edema noted bilaterally. Deep tendon reflex (DTR) is 3+
bilaterally.
Applied external fetal heart monitor. No contractions noted.
Fetal heart rate 140/min.
Question 1 of 5
Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.
Correct Answer: A,C,G
Rationale: Reposition the client (Trendelenburg or knee-chest)
Extract:
Question 2 of 5
Which of the following hormones is responsible for stimulating uterine contractions during labor?
Correct Answer: D
Rationale: Oxytocin is the correct answer as it is the hormone responsible for stimulating uterine contractions during labor. Oxytocin is produced by the pituitary gland and plays a crucial role in initiating and sustaining labor contractions. It acts on the smooth muscle cells of the uterus, causing them to contract and aiding in the progression of labor. Progesterone and estrogen are involved in preparing the uterus for pregnancy but do not directly stimulate contractions. Prolactin is responsible for milk production, not uterine contractions.
Therefore, D is the correct answer due to its specific role in labor contractions.
Question 3 of 5
Which of the following is a potential ethical issue in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, ethical issues can arise in various aspects such as informed consent, patient confidentiality, and end-of-life decision-making. Informed consent ensures that patients fully understand the risks and benefits of medical interventions. Patient confidentiality is essential for maintaining trust and privacy. End-of-life decision-making involves delicate ethical considerations regarding the best interests of both the mother and the newborn. These issues are crucial in ensuring ethical practices and upholding the rights of patients in maternal and newborn healthcare.
Choices A, B, and C are incorrect because each of them represents a distinct but valid ethical concern within this context.
Question 4 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome occurs in newborns exposed to addictive substances in utero. Excessive crying is a common symptom due to withdrawal. Diminished deep tendon reflexes (
A) are not typically associated. Decreased muscle tone (
C) is also not a common finding in neonatal abstinence syndrome. Absent Moro reflex (
D) is not a characteristic symptom.
Therefore, excessive crying is the most expected finding in a newborn with neonatal abstinence syndrome.
Question 5 of 5
A nurse is caring for a client who is in labor and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in the Trendelenburg position helps reduce pressure on the prolapsed cord, preventing fetal distress. Other actions like applying fundal pressure or wrapping the cord are not appropriate.