ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is caring for a client who is 4 days postpartum following a
cesarean birth
Nurses: Notes
Today
0800:
Client reports not feeling well with headache, body aches, and
chills. Left breast red and tender with swollen, tender lymph
nodes in the left axilla. Incision edges well-approximated
without erythema or drainage. Small amount of lochia rubra
noted.
0830:
Provider notified of findings. Prescriptions received.
Question 1 of 5
For each potential assessment finding, click to specity if the assessment finding Is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.
| Assessment Findings | Mastitis | Endometritis |
|---|---|---|
| Foul-smelling lochia | ||
| Painful, tender breast | ||
| Temperature | ||
| Chilis |
Correct Answer:
Rationale:
Extract:
Question 2 of 5
Which of the following is a potential legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: Legal issues in maternal and newborn healthcare include medical negligence, patient confidentiality, and informed consent.
Question 3 of 5
Which of the following is a potential complication of postpartum depression?
Correct Answer: A
Rationale: The correct answer is A: Poor bonding with the newborn. Postpartum depression can interfere with a mother's ability to bond with her newborn due to feelings of sadness, anxiety, and detachment. This can impact the emotional connection and care provided to the baby, potentially leading to long-term developmental and behavioral issues.
Choices B and C are incorrect as they are not direct complications of postpartum depression. Insufficient milk production is more related to physical factors, while postpartum hemorrhage is a medical complication during childbirth.
Choice D is incorrect as it is too broad and not all-encompassing of the potential complications of postpartum depression.
Question 4 of 5
A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?
Correct Answer: B
Rationale: The anterior fontanel typically remains open until around 18 months of age, while the posterior fontanel usually closes by 2-3 months. Molding is not an expected finding at this age.
Question 5 of 5
Which of the following is a potential complication of a breech delivery?
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. In a breech delivery, where the baby is positioned feet or buttocks first, there is an increased risk of birth trauma due to potential difficulties in delivering the baby's head, leading to possible injuries such as fractures or nerve damage. Fetal distress and maternal hemorrhage can also occur but are not exclusive complications of breech delivery.
Choice D, "All of the above," is incorrect as not all potential complications of a breech delivery are listed.