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.
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
Which of the following is a potential legal issue related to informed consent in maternal and newborn healthcare?
Correct Answer: D
Rationale: All of the above are potential legal issues related to informed consent. Lack of capacity, coercion, and failure to disclose risks and benefits can all invalidate consent and lead to legal consequences.
Question 3 of 5
Which of the following is a potential complication of maternal hypertension during pregnancy?
Correct Answer: D
Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.
Question 4 of 5
What is the primary responsibility of a nurse or midwife in providing culturally competent care in maternal and newborn healthcare?
Correct Answer: D
Rationale: Culturally competent care involves recognizing cultural diversity, providing culturally sensitive education, and addressing health disparities.
Question 5 of 5
What is the recommended method of administering erythromycin ointment to a newborn?
Correct Answer: C
Rationale: The correct method for administering erythromycin ointment to a newborn is through topical application. This involves applying the ointment to the newborn's eyes to prevent neonatal conjunctivitis caused by Chlamydia trachomatis and Neisseria gonorrhoeae. Intramuscular and subcutaneous injections are not appropriate for this medication as it is meant for external use only. Oral administration is also not recommended for this particular medication.
Topical application is the most effective and safe method for this specific purpose.