ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is caring for a postpartum client who gave birth 3 days ago.
Exhibit 1
Vital Signs
Temperature 38.4° C (101.1° F)
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale:
Extract:
Question 2 of 5
A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to have tangible memories of their stillborn baby, aiding in the grieving process and closure. It validates the existence of the fetus as part of the family. Limiting the time the fetus is in the room (choice
A) may not be necessary as per the client's wishes. Instructing the client about an autopsy (choice
C) may not be appropriate immediately after delivery. Informing the client about the law requiring naming the fetus (choice
D) is not accurate and may add unnecessary stress.
Question 3 of 5
A nurse is providing teaching to a client who is breastfeeding and experiencing engorgement. Which of the following recommendations should the nurse include?
Correct Answer: A
Rationale: Warm compresses help to relieve engorgement by promoting milk flow and reducing discomfort before feedings.
Question 4 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: Frequent vomiting with significant weight loss may indicate hyperemesis gravidarum, a condition that requires medical intervention to prevent dehydration and nutritional deficiencies.
Question 5 of 5
Which of the following is a potential complication of a vacuum-assisted delivery?
Correct Answer: C
Rationale: The correct answer is C: Intra-abdominal injury. During a vacuum-assisted delivery, the vacuum may apply excessive force leading to potential complications such as intra-abdominal injury. The vacuum can cause trauma to maternal organs like the bladder or uterus. Fetal distress and maternal hemorrhage can occur during any delivery, not specifically related to vacuum-assisted delivery.
Choice D is incorrect as it is not true that all three complications are potential risks of vacuum-assisted delivery.