ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the primary responsibility of a nurse or midwife in advocating for patient and family-centered care in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nurses and midwives play a crucial role in advocating for patient and family-centered care in maternal and newborn healthcare.
A: Promoting shared decision-making ensures that patients and families are actively involved in their care decisions.
B: Ensuring patient privacy and confidentiality promotes trust and respect between healthcare providers and patients.
C: Providing evidence-based care guarantees that patients receive the most effective and safe treatments based on the latest research.
By combining all these responsibilities, nurses and midwives can truly advocate for the best interests of patients and families, making D the correct choice.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale:
Extract:
Question 3 of 5
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to ambulate to the bathroom. This is the appropriate initial action for the nurse to take because post-cesarean birth, the client may have difficulty urinating due to anesthesia effects or discomfort. Ambulation can help stimulate the bladder and promote urine voiding. Inserting a urinary catheter (
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
C) is a non-invasive way to assess for urinary retention, but ambulation should be attempted first. Administering a diuretic (
D) is not indicated without confirming urinary retention first.
Question 4 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: Chin quivering is a sign of pain in newborns and should be addressed with appropriate pain management interventions.
Question 5 of 5
Which of the following is a potential complication of a postpartum hemorrhage?
Correct Answer: B
Rationale: The correct answer is B: Anemia. Postpartum hemorrhage leads to excessive blood loss, causing a decrease in red blood cells, leading to anemia. Hypertension is not a typical complication of postpartum hemorrhage. Thrombocytopenia is a low platelet count and not directly related to blood loss. The correct answer is B because anemia is a common complication due to blood loss.