ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. This is recommended for pain relief during labor in high-risk pregnancies as it provides effective pain relief while allowing the woman to remain alert and participate in labor. Epidural anesthesia can be adjusted as needed and does not affect the baby's heart rate. Spinal anesthesia is typically used for cesarean sections and may not be ideal for labor pain management. Intravenous opioids can cross the placenta and affect the baby's breathing and heart rate.
Choice D is incorrect because not all methods are recommended for high-risk pregnancies.
Question 2 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation is a procedure that blocks the fallopian tubes, preventing the egg from reaching the uterus for fertilization.
Therefore, ovulation still occurs, but the egg cannot travel to the uterus. This statement indicates an understanding of the procedure.
A: Premenstrual tension may still occur as tubal ligation does not affect hormone levels.
B: The length of menstrual periods is not directly affected by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation as it does not affect hormone production.
In summary, understanding that ovulation continues after tubal ligation is crucial for effective contraception.
Question 3 of 5
Which of the following is a potential barrier to effective interprofessional collaboration in maternal and newborn healthcare?
Correct Answer: D
Rationale: Barriers to interprofessional collaboration include hierarchical structures, lack of understanding of roles, and limited resources.
Question 4 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Continuing to take insulin as prescribed, even when experiencing nausea and vomiting, is essential for maintaining blood glucose control during pregnancy.
Question 5 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: The correct answer is C because positioning the car seat at a 45-degree angle is crucial for newborns to prevent their head from falling forward and compromising their airway. This angle helps maintain proper breathing and spinal alignment.
Choices A, B, and D are incorrect because using a sleep sack in the car seat can interfere with harness fit, a car seat challenge test is typically done for preterm babies, and turning the car seat forward-facing before the baby is at least 2 years old is unsafe.