ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the primary ethical principle guiding nursing practice in maternal and newborn healthcare?
Correct Answer: C
Rationale: The correct answer is C: Beneficence. In maternal and newborn healthcare, beneficence is the primary ethical principle guiding nursing practice. This principle emphasizes the obligation to act in the best interest of the mother and baby, promoting their well-being and health. Nurses are ethically bound to prioritize the welfare of their patients and provide care that maximizes benefits and minimizes harm. Autonomy (choice), non-maleficence (do no harm), and justice (fairness) are also important ethical principles in healthcare but beneficence takes precedence in maternal and newborn care due to the vulnerability of the patients and the need for optimal outcomes. Autonomy focuses on respecting the patient's rights to make decisions, non-maleficence emphasizes avoiding harm, and justice pertains to fairness in resource allocation. However, in the context of maternal and newborn healthcare, beneficence is the cornerstone principle to ensure the best possible care and outcomes for both mother and baby.
Question 2 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Levonorgestrel is an emergency contraceptive that should be taken within 72 hours of unprotected intercourse to be most effective in preventing pregnancy.
Question 3 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should increase my protein intake to 60 grams each day." This is the correct answer because protein is essential for fetal development and maternal health during pregnancy. Protein helps in the growth of the baby's tissues and organs. The recommended daily protein intake during pregnancy is higher than usual, around 71 grams per day.
Therefore, increasing protein intake to 60 grams is a good indication that the client understands the importance of adequate protein during pregnancy.
Choice B is incorrect because while hydration is important during pregnancy, there is no specific recommended daily intake of 2 liters of water.
Choice C is incorrect because increasing overall caloric intake by 300 calories is a general recommendation for the second and third trimesters, not necessarily at 10 weeks of gestation.
Choice D is incorrect because while folic acid is important during pregnancy to prevent birth defects, the recommended daily intake is 400-800 micrograms, not specifically 600 micrograms.
Question 4 of 5
A nurse is preparing to administer an IM injection to a newborn. Which of the following sites should the nurse select?
Correct Answer: A
Rationale: The correct answer is A: Vastus lateralis. For newborns, the vastus lateralis muscle is the preferred site for IM injections due to its larger muscle mass, lower risk of hitting nerves or blood vessels, and better absorption of the medication. The site is located on the lateral aspect of the thigh, making it easily accessible and safe for injections. The other choices are incorrect for newborns: B (dorsogluteal) is not recommended due to the risk of sciatic nerve injury, C (deltoid) is typically used for older children and adults, and D (rectus femoris) is not a commonly used site for IM injections in newborns.
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.