ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended method of contraception for a woman who is breastfeeding?
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are safe to use while breastfeeding as they do not affect milk supply. They are also effective in preventing pregnancy. Combined oral contraceptives (choice
A) are not recommended during breastfeeding due to estrogen content. Depo-Provera injection (choice
B) and Copper IUD (choice
C) are also safe but may have more potential side effects during breastfeeding. In summary, progestin-only pills are the recommended choice for breastfeeding women due to their safety and effectiveness.
Question 2 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Pressing the handheld button when the client feels fetal movement helps to correlate fetal movements with changes in the fetal heart rate, which is the purpose of the nonstress test.
Extract:
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.
Exhibit 1 - Nurses' Notes: 0700
Breasts soft, nipples intact. Uterus palpated firm, midline, and at the level of the umbilicus.
Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and
ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously; no bladder
distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities.
Exhibit 2 - Nurses' Notes: 1100
Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the
umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema
and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+.
Peripheral edema 2+ in bilateral lower extremities.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A,B,C,G
Rationale: These findings suggest uterine atony and bladder distention, which can lead to postpartum hemorrhage, a life-threatening emergency. Immediate interventions include fundal massage, bladder emptying, and administration of uterotonic medications.
Extract:
Question 4 of 5
Which of the following is a potential complication of neonatal hypoglycemia?
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.
Question 5 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return by reducing pressure on the vena cava, thus increasing cardiac output and blood pressure. It prevents supine hypotensive syndrome.
B: Applying oxygen won't directly address hypotension caused by epidural anesthesia.
C: Massaging the fundus is not relevant for treating hypotension related to epidural anesthesia.
D: Assisting the client to empty the bladder may be needed, but it won't directly address hypotension.