ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is reviewing the provider's prescription in the adolescent's
medical chart.
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 1 of 5
The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and ---------------------------------
Correct Answer: A,B
Rationale: Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer
doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take.Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first.
Extract:
Question 2 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. This is crucial during phototherapy for hyperbilirubinemia because it helps maximize skin exposure to the therapeutic light. By removing clothing, the skin can absorb the light more effectively, aiding in the breakdown of bilirubin.
Choice A is incorrect as water should not be given in place of feeding, as the newborn needs adequate nutrition.
Choice B is incorrect as applying lotion may interfere with the effectiveness of phototherapy.
Choice D is incorrect as a rash is a common side effect of phototherapy and should not warrant discontinuation of treatment.
Question 3 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to maternal hyperglycemia causing increased insulin production in the fetus. Jitteriness is a common manifestation of hypoglycemia in newborns as their brain relies heavily on glucose for energy. Abdominal distention (
A) is not usually associated with hypoglycemia in newborns. Petechiae (
B) are small, pinpoint hemorrhages under the skin and not related to hypoglycemia. Increased muscle tone (
C) is not a typical sign of hypoglycemia in newborns.
Question 4 of 5
What is the recommended method of pain relief for a woman who has a vaginal tear or episiotomy after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a vaginal tear or episiotomy may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen is a pain reliever that can also help manage the discomfort. Ice packs can provide local anesthesia and reduce swelling. Using all three methods together can provide comprehensive pain relief by targeting different aspects of pain and inflammation. Thus, a combination of NSAIDs, acetaminophen, and ice packs is the recommended method for effective pain management in this situation. Other choices are incorrect because using only one method may not address all aspects of pain or inflammation adequately.
Question 5 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite that commonly presents with a foul-smelling, frothy, greenish-yellow vaginal discharge. At 20 weeks gestation, the client may not exhibit other symptoms like urinary frequency or vulva lesions, making malodorous discharge the most likely finding. Thick, white vaginal discharge (option
A) is more indicative of a yeast infection. Urinary frequency (option
B) is not a typical symptom of trichomoniasis. Vulva lesions (option
C) are not a common manifestation of trichomoniasis.