ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:|
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.
Exhibit 4
Medical History
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy. Maternal use of marijuana during
pregnancy
Client who gave birth plans to breastfeed.
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: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.
Rationale: The correct actions to take are placing newborn skin to skin and encouraging breastfeeding to address potential condition of acute bilirubin encephalopathy. Monitoring temperature and bilirubin levels is crucial for assessing the client's progress in managing this condition. This approach is supported by evidence-based practice in neonatal care to promote bonding, breastfeeding, and early detection of jaundice-related complications.
Choice A includes appropriate actions to promote bonding and breastfeeding but does not specifically address the potential condition of bilirubin encephalopathy.
Choice C includes relevant parameters to monitor but does not align with the specific actions needed for acute bilirubin encephalopathy.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
Question 2 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, r candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal assessment | |||
| Vaginal discharge | |||
| Heart rate | |||
| Temperature | |||
| Dyspareunia | |||
| Condom usage |
Correct Answer: A,B,D,E,F
Rationale: Abdominal assessment, vaginal discharge, temperature, dyspareunia, and condom usage are critical findings that may indicate infections, sexually transmitted diseases, or other health concerns requiring provider evaluation.
Extract:
Question 3 of 5
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: At 12 weeks of gestation, the fetal heart rate is best assessed using an ultrasound stethoscope positioned above the symphysis pubis. Leopold maneuvers are not necessary at this early stage.
Question 4 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. Cholecystitis is a contraindication due to increased risk of gallbladder disease with oral contraceptives. Hypertension is a contraindication as estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are contraindicated due to increased risk of stroke. Human papillomavirus is not a contraindication unless it is causing severe immunosuppression. Other choices are left blank as they are not relevant contraindications to oral contraceptives.
Question 5 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. This is because a uterus palpated to the right above the umbilicus 12 hours post-vaginal birth indicates a full bladder displacing the uterus. Emptying the bladder will help the uterus to return to its normal position and prevent uterine atony or excessive bleeding.
Choice A: Reassessing in 2 hours is not appropriate as immediate intervention is needed.
Choice B: Administering simethicone is not relevant to the situation described.
Choice D: Instructing the client to lie on their right side does not address the underlying issue of a full bladder.