ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse in the emergency department is caring for a 19-year-old client
who is at 18 weeks of gestation.
Exhibit 1
Nurses' Notes
Client presents with reports of nausea and vomiting for the past
several weeks, which has worsened in severity. Client states that
they have been unable to retain even clear fluids for the past 48
hr. Client reports no pain. Client reports a history of migraines
and asthma.
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:
A nurse is caring for a postpartum client in an outpatient setting
Exhibit1:
History and Physical
G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation.
Newborn 4,508 g (9 lb 15 oz), APGARs: 8 at 1 min, 9 at 5 min
group B streptococcus 8-hemolytic: positive (negative)
Received 2 doses of Intravenous penicillin G while in labor”
Question 2 of 5
complete the following sentence by using the lists of options. The client is at highest risk for developing ---evidenced by the client's ---
Correct Answer: A
Rationale: The client is at highest risk for developing endometritis due to the positive group B streptococcus status and the median episiotomy, which are risk factors for infection.
Extract:
Question 3 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common side effect due to the hormonal changes caused by the drug. It occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not commonly associated with clomiphene citrate use. Tinnitus is more commonly linked to ear problems, urinary frequency may be due to other factors, and chills are not a typical side effect of this medication.
Question 4 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
Rationale: Postterm newborns have longer nails due to prolonged intrauterine exposure. This is known as "paronychia." The other options are not typical findings in postterm newborns. A: Large deposits of subcutaneous fat are seen in term or post-term newborns. B: Thin covering of fine hair on the shoulders and back, known as "lanugo," is seen in premature newborns. D: Pale, translucent skin is common in premature newborns.
Therefore, the correct answer is C, nails extending over the tips of fingers, as it aligns with the physiological characteristics of postterm newborns.
Question 5 of 5
Which of the following is a potential complication of jaundice in a newborn?
Correct Answer: A
Rationale: The correct answer is A: Kernicterus. Jaundice in newborns can lead to the accumulation of bilirubin in the brain, causing permanent brain damage known as kernicterus. This occurs when bilirubin levels are too high and cross the blood-brain barrier. Other choices (B, C,
D) are potential complications of jaundice but do not specifically involve brain damage like kernicterus. Hypoglycemia may result from liver dysfunction due to jaundice. Respiratory distress may occur due to increased bilirubin affecting lung function. Sepsis can be a complication of untreated jaundice leading to systemic infection but is not directly related to brain damage like kernicterus.