ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.
Exhibit 1 - Nurses' Notes: 0700
Breasts soft, nipples intact. Uterus palpated firm, midline, and at the level of the umbilicus.
Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and
ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously; no bladder
distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities.
Exhibit 2 - Nurses' Notes: 1100
Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the
umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema
and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+.
Peripheral edema 2+ in bilateral lower extremities.
Question 1 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A,B,C,G
Rationale: These findings suggest uterine atony and bladder distention, which can lead to postpartum hemorrhage, a life-threatening emergency. Immediate interventions include fundal massage, bladder emptying, and administration of uterotonic medications.
Extract:
Question 2 of 5
What is the recommended method of administering vitamin K to a newborn?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering vitamin K via intramuscular injection ensures rapid absorption and immediate availability in newborns who are at risk for vitamin K deficiency bleeding. Oral administration may be less effective due to variability in absorption.
Topical application is not recommended for newborns. Subcutaneous injection may not provide as consistent absorption as intramuscular route. Overall, intramuscular injection is the most reliable and recommended method for vitamin K administration to newborns.
Extract:
The nurse is reviewing laboratory results in the adolescent's medical
record.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 3 of 5
The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for ------------------------------ and --------------------------
Correct Answer: B,C
Rationale:
Extract:
Question 4 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A fetal heart rate baseline of 170/min is tachycardic and should be reported to the provider as it may indicate fetal distress.
Question 5 of 5
Which of the following is a potential complication of a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Postpartum hemorrhage, infection, and deep vein thrombosis are all potential complications of a cesarean delivery. Postpartum hemorrhage can occur due to excessive bleeding after delivery. Infection can happen at the incision site or internally. Deep vein thrombosis is a risk due to immobility and changes in blood flow during and after surgery. Choosing options A, B, or C alone would not encompass all potential complications, making D the most comprehensive answer.