ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended age for the first hepatitis B vaccine for a newborn?
Correct Answer: B
Rationale: The correct answer is B: Within 48 hours of birth. The rationale behind this is that the first dose of hepatitis B vaccine is recommended to be administered within 24-48 hours after birth to provide early protection. This timing is crucial as newborns are at risk of contracting hepatitis B from their mothers during childbirth. Administering the vaccine soon after birth helps prevent transmission and ensures the baby's immune system starts developing protection against the virus.
Choices A, C, and D are incorrect because delaying the vaccine beyond the first 48 hours increases the risk of infection.
Question 2 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is crucial during a nonstress test to monitor fetal heart rate in response to movement. Pressing the button helps correlate fetal movements with any changes in heart rate, providing valuable data on fetal well-being. Maintaining NPO (
A) is not necessary for a nonstress test. Placing the client in a supine position (
B) can compress the vena cava, compromising blood flow to the fetus. Instructing the client to massage the abdomen (
C) may artificially stimulate fetal movement, affecting test results.
Question 3 of 5
Which of the following is a potential complication of jaundice in a newborn?
Correct Answer: A
Rationale: The correct answer is A: Kernicterus. Jaundice in newborns can lead to the accumulation of bilirubin in the brain, causing permanent brain damage known as kernicterus. This occurs when bilirubin levels are too high and cross the blood-brain barrier. Other choices (B, C,
D) are potential complications of jaundice but do not specifically involve brain damage like kernicterus. Hypoglycemia may result from liver dysfunction due to jaundice. Respiratory distress may occur due to increased bilirubin affecting lung function. Sepsis can be a complication of untreated jaundice leading to systemic infection but is not directly related to brain damage like kernicterus.
Question 4 of 5
Which of the following is a potential complication of a forceps-assisted delivery?
Correct Answer: C
Rationale: Forceps-assisted delivery can sometimes result in neonatal brachial plexus injury due to the pressure applied during delivery.
Question 5 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can positively impact fertility by promoting hormonal balance and regular ovulation. Excess weight can disrupt menstrual cycles and ovulation, leading to fertility issues. By suggesting maintaining a healthy weight, the nurse is addressing a crucial aspect of fertility optimization.
Choice A (Use a lubricant during intercourse) is incorrect because while lubricants can aid in sexual comfort, they do not directly impact fertility.
Choice B (Drink herbal tea two times daily) is incorrect as there is no scientific evidence to support the efficacy of herbal teas in improving fertility.
Choice D (Take daily hot baths) is incorrect as excessive heat from hot baths can actually negatively affect sperm production and motility, reducing fertility chances.
Overall, maintaining a healthy weight is the most evidence-based and beneficial nonpharmacological treatment option for enhancing fertility.