ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the primary goal of culturally competent care in maternal and newborn healthcare?
Correct Answer: B
Rationale: The correct answer is B:
To promote health equity. Culturally competent care aims to ensure all individuals receive care that is respectful of and responsive to their cultural beliefs and practices. By promoting health equity, healthcare providers can address disparities in healthcare outcomes among diverse populations.
Choice A is incorrect because cultural competence values and respects cultural differences instead of eliminating them.
Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's.
Choice D is incorrect as it inaccurately suggests that all options are equally important, when in reality, promoting health equity is the primary goal.
Question 2 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The priority intervention is to begin FHR (fetal heart rate) monitoring to ensure the fetus is not in distress after the rupture of membranes. This is critical for fetal well-being.
Question 3 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. When a newborn is delivered with a nuchal cord (umbilical cord wrapped around the neck), it can cause pressure on the baby's face during delivery, leading to small red or purple spots called petechiae. This occurs due to capillary rupture. Telangiectatic nevi (choice
A) are birthmarks caused by widened blood vessels, not related to nuchal cord. Periauricular papillomas (choice
C) are benign skin growths, not specifically linked to nuchal cord. Erythema toxicum (choice
D) is a common newborn rash unrelated to nuchal cord.
Question 4 of 5
A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?
Correct Answer: C
Rationale: Requesting a female interpreter through the facility ensures accurate and professional communication, respecting the client's privacy and cultural preferences. Using a child or partner to translate is inappropriate and may lead to misunderstandings.
Question 5 of 5
What is the primary legal responsibility of a nurse or midwife in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nurses and midwives have a legal responsibility to ensure patient safety by following proper protocols and guidelines to prevent harm. They must also maintain patient confidentiality to protect sensitive information. Additionally, providing appropriate care and treatment is crucial for the well-being of both the mother and newborn. Choosing D encompasses all these duties, reflecting the comprehensive legal responsibility of a nurse or midwife in maternal and newborn healthcare. The other options are incorrect because while they represent important aspects of nursing practice, they do not fully capture the complete legal responsibility that nurses and midwives have in this specific context.