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 who desires systemic opioids?
Correct Answer: A
Rationale: Intravenous opioids are the recommended method for systemic pain relief during labor.
Question 2 of 5
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Frequent breastfeeding stimulates milk production. Manually expressing milk does not decrease supply, and the baby should alternate breasts during feedings.
Question 3 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Massage the client's fundus. This is the priority action because excessive vaginal bleeding postpartum could indicate uterine atony, which is a common cause of postpartum hemorrhage. Massaging the fundus helps to stimulate uterine contractions, which can help control bleeding. By massaging the fundus, the nurse can potentially prevent further blood loss and stabilize the client's condition. Administering oxytocin (choice
B) can also help with uterine contractions but massaging the fundus should be the initial action. Emptying the client's bladder (choice
C) can help with fundal displacement but may not address the bleeding. Providing oxygen (choice
D) is important but addressing the bleeding takes precedence in this situation.
Question 4 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. Labor induction with oxytocin can lead to uterine overstimulation, increasing the risk of postpartum hemorrhage. Vacuum-assisted delivery can cause trauma to the birth canal and uterus, also increasing the risk. A history of uterine atony indicates a previous inability of the uterus to contract effectively, predisposing the client to postpartum hemorrhage due to poor uterine muscle tone.
Choice B (newborn weight) and E (HPV history) are not directly related to postpartum hemorrhage risk.
Question 5 of 5
Which of the following is a potential complication of gestational diabetes?
Correct Answer: C
Rationale: The correct answer is C: Polyhydramnios. Gestational diabetes can lead to increased levels of glucose in the amniotic fluid, resulting in excess fetal urine production and subsequently polyhydramnios. This condition can increase the risk of preterm labor, stillbirth, and delivery complications. Hyperglycemia (choice
A) is a symptom of uncontrolled gestational diabetes, while hypoglycemia (choice
B) is not typically associated with gestational diabetes. Hypertension (choice
D) is more commonly linked to conditions like preeclampsia rather than gestational diabetes.