ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 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.
Extract:
A nurse is caring for a newborn.
Exhibit 1
Medical History
1600:
Apgar score 9 at 1 min and 9 at 5 min
Birth weight 4,706 g (10 lb 6 oz)
Gestational age 40 weeks
Difficult vaginal birth with shoulder dystocia. Exhibit 2
Nurses' Notes
1700:
Newborn is active and moves all extremities except for right arm. No spontaneous movement of
the right arm noted. Right arm remains at side during Moro reflex. Exhibit 3
Physical Examination
1830:
Absent Moro reflex noted in right arm.
Right shoulder and arm are internally rotated and adducted. Elbow extended. Forearm pronated
with wrist and fingers flexed. Diagnosis: Brachial plexus injury resulting in Erb-Duchenne (Erb's
palsy) paralysis.
Question 2 of 5
Which of the following actions should the nurse plan to implement? For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the newborn.
| Potential Nursing Action | Indicated | Contraindicated |
|---|---|---|
| Educate the parents to begin range of motion exercises on the affected arm after 1 week. | ||
| Assess for grasp reflex in the affected extremity. | ||
| Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt. | ||
| Instruct parents to limit physical handling for 2 weeks. |
Correct Answer:
Rationale: Educate the parents to begin range of motion exercises on the affected arm after 1 week is indicated. Passive ROM exercises of the arm are indicated to restore function of the extremity. The initiation of these exercises is delayed for approximately 1 week to prevent additional injury to the brachial plexus. Assess for grasp reflex in the affected extremity is indicated. With Erb-Duchenne paralysis, only the upper arm is affected. The function of the wrists and fingers should be unaffected; the nurse should assess for a palmar grasp reflex.Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt is indicated. Intermittent immobilization of the affected arm across the newborn's abdomen can be achieved by pinning the sleeve to the shirt.Instruct parents to limit physical handling for 2 weeks is contraindicated. Parents and guardians should participate in the physical care of their newborn to increase parental-infant attachment. Providing education and practice opportunities for the parents will decrease their fears of injuring the newborn and increase confidence and bonding.
Extract:
Question 3 of 5
Which of the following hormones is responsible for maintaining the uterine lining during pregnancy?
Correct Answer: A
Rationale: Progesterone is responsible for maintaining the uterine lining during pregnancy, supporting the developing fetus.
Question 4 of 5
Which of the following is a potential complication of neonatal hypocalcemia?
Correct Answer: C
Rationale: Neonatal hypocalcemia can lead to hypotension due to low calcium levels.
Question 5 of 5
What is the recommended method of pain relief during labor for a woman who desires regional anesthesia?
Correct Answer: D
Rationale: Regional anesthesia options include epidural, spinal, and combined spinal-epidural blocks.