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 or
gestation. Exhibit1: 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
Exhibit 2
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+
bilaterally.
Applied external fetal heart monitor. No contractions noted.
Fetal heart rate 140/min.
Question 1 of 5
Select the 5 findings that require follow-up by the nurse.
Correct Answer: A,C,D,E,G
Rationale: Administer oxygen
Extract:
Question 2 of 5
Which hormone is responsible for stimulating milk production in the breasts?
Correct Answer: C
Rationale: The correct answer is C: Prolactin. Prolactin is the hormone responsible for stimulating milk production in the breasts. It is produced by the pituitary gland and its primary function is to promote lactation. Progesterone and estrogen are reproductive hormones that play a role in the menstrual cycle and pregnancy but are not directly responsible for milk production. Oxytocin is responsible for the ejection of milk from the breasts during breastfeeding, not for milk production itself.
Therefore, the correct choice is prolactin as it specifically targets breast tissue to stimulate milk production.
Question 3 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: Laying the newborn across the lap and gently swaying is a positive parenting behavior that can help soothe the newborn and promote bonding.
Question 4 of 5
A nurse is caring for a client who is in labor and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in the Trendelenburg position helps reduce pressure on the prolapsed cord, preventing fetal distress. Other actions like applying fundal pressure or wrapping the cord are not appropriate.
Question 5 of 5
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
Correct Answer: A
Rationale: The correct answer is A: How much protein do you eat in a day? This question is important because a vegan diet may lack sufficient protein, a crucial nutrient for pregnancy. By asking about protein intake, the nurse can assess if the client is meeting their protein needs.
Choice B is incorrect as Vitamin C can be obtained from various plant-based sources in a vegan diet.
Choice C is incorrect because shellfish is not suitable for a vegan diet.
Choice D is incorrect as it is not relevant to a vegan diet.