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 of
gestation.
Exhiont 2
Vital Signs
1000:
Temperature 37.4"C（99.3*F)
Heart rate 90/min
Respiratory rate 20/min
Blood pressure 148/94 mm Hg
Oxygen saturation 95% on room air
1100:
Temperature 37° C (98.6° F)
Heart rate 92/min
Respiratory rate 24/min
Blood pressure 156/96 mm Hg
Oxygen saturation 94% on room air
1400:
Temperature 37.2°C（98.9*F）
Heart rate 80/min
Respiratory rate 14/min
Blood pressure 170/112 mm Hg
oxygen saturation 92% on room air
Question 1 of 5
Complete the following sentence by using the list of options. Based on the client findings, the nurse should first admister-----------------and then prepare to administer-----------------------
Correct Answer: B,A
Rationale:
Rationale:
First administer hydralazine ✅
The client is experiencing severe hypertension (BP 170/112 mm Hg at 1400), which indicates preeclampsia with severe features.
Hydralazine is a fast-acting antihypertensive that helps lower blood pressure and reduce the risk of stroke, placental abruption, or fetal compromise.
Then prepare to administer calcium gluconate ✅
If the client is receiving magnesium sulfate for seizure prevention (common in severe preeclampsia), calcium gluconate is the antidote in case of magnesium toxicity (which can cause respiratory depression or cardiac arrest).
The nurse should have calcium gluconate readily available in case of toxicity signs like loss of deep tendon reflexes, respiratory depression, or cardiac arrhythmias.
Notify the provider 🚨
The severely elevated BP (170/112 mm Hg) and potential risk for eclampsia (seizures) require immediate provider notification for further management.
Extract:
Question 2 of 5
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: Performing Leopold maneuvers helps the nurse determine the fetal position and presentation, which is essential for accurate placement of the external transducer.
Question 3 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 4 of 5
What is the function of the cervix during pregnancy?
Correct Answer: A
Rationale: The correct answer is A:
To secrete mucus that prevents infection. The cervix acts as a barrier to protect the fetus from potential infections entering the uterus. The mucus produced by the cervix forms a plug that blocks the entry of harmful bacteria, reducing the risk of infection reaching the developing fetus.
Choices B, C, and D are incorrect because the cervix primarily functions to provide a protective barrier against infections during pregnancy, rather than solely protecting the fetus from trauma, regulating fetal temperature, or encompassing all functions mentioned in the other options.
Question 5 of 5
Which of the following is a potential indication for a forceps-assisted delivery?
Correct Answer: C
Rationale: A prolonged second stage of labor is a common indication for a forceps-assisted delivery.