ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse in labor and delivery is caring for a client who is at 30 weeks of
gestation.
Exhibit1
Assessment
1000:
Client is Gravida 1 Para 0 and reports headache, nausea.
vomiting and right upper abdominal pain.
Client is alert and oriented, appears restless. Client has gained
0.68 kg (1.5 lb) within the last week. Slight facial edema is
present. Heart rate regular and without murmur. Respirations
even, non-labored. Lungs clear to auscultation. Abdomen
gravid. Fundal height measurement 29 cm. 1+ dependent
edema noted bilaterally. Deep tendon reflex (DTR) is 3+
bllaterally.
Applied external fetal heart monitor. No contractions noted.
Fetal heart rate 140/min.
Question 1 of 5
Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing -----------------due to-------------------
Correct Answer:
Rationale:
Extract:
Question 2 of 5
A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?
Correct Answer: C
Rationale: Requesting a female interpreter through the facility ensures accurate and professional communication, respecting the client's privacy and cultural preferences. Using a child or partner to translate is inappropriate and may lead to misunderstandings.
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A: You should have your provider refit you for a new diaphragm.
Rationale: It is crucial for the nurse to advise the postpartum client to have her provider refit her for a new diaphragm as the body undergoes changes after childbirth. The size and shape of the cervix and vaginal canal may change, affecting the fit of the diaphragm. Using an ill-fitting diaphragm can lead to ineffective contraception and potential risks.
Therefore, ensuring a proper fit by the provider is essential for the client's safety and contraceptive efficacy.
Summary of Incorrect
Choices:
B: Using an oil-based vaginal lubricant can degrade the diaphragm material, leading to damage and reducing its effectiveness.
C: Keeping the diaphragm in place for an extended period can increase the risk of toxic shock syndrome. It is recommended to remove it within 24 hours to prevent complications.
D: Storing the diaphragm in sterile water is not necessary and may
Question 4 of 5
What is the recommended method of pain relief during labor for a woman who desires systemic opioids?
Correct Answer: A
Rationale: Intravenous opioids are the recommended method for systemic pain relief during labor.
Question 5 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A,C
Rationale: The correct answers for the administration of oxytocin postpartum are A and C. A flaccid uterus indicates poor uterine tone, which can lead to postpartum hemorrhage. Oxytocin helps in uterine contraction, reducing bleeding. Excess vaginal bleeding is also an indication for oxytocin administration to aid in uterine contraction and control bleeding.
Choices B, D, and the other options are incorrect. Cervical laceration and increased afterbirth cramping are not direct indications for oxytocin administration.