ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended method of screening for Down syndrome during pregnancy?
Correct Answer: A
Rationale: The recommended method for screening for Down syndrome during pregnancy is maternal serum screening. This test measures specific hormones and proteins in the mother's blood to assess the risk of chromosomal abnormalities in the fetus. It is a non-invasive and low-risk option that can be done early in pregnancy. Fetal ultrasound (
B) is used to evaluate fetal growth and anatomy but is not specific for Down syndrome screening. Chorionic villus sampling (
C) and amniocentesis (
D) are diagnostic tests that involve sampling fetal tissue and carry a higher risk of complications compared to maternal serum screening.
Question 2 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 3 of 5
Which stage of labor is characterized by the period between the onset of regular contractions and full cervical dilation?
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor begins with the onset of regular contractions and ends with complete cervical dilation at 10 cm. During this stage, the cervix gradually thins and opens to allow the baby to pass through the birth canal. The first stage is further divided into early, active, and transition phases based on the rate of cervical dilation and effacement. The second stage (
B) is characterized by the baby's descent through the birth canal and ends with the baby's delivery. The third stage (
C) involves the delivery of the placenta. The fourth stage (
D) is the immediate postpartum period. These stages come after the first stage of labor.
Question 4 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.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
Question 5 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, r candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal assessment | |||
| Vaginal discharge | |||
| Heart rate | |||
| Temperature | |||
| Dyspareunia | |||
| Condom usage |
Correct Answer: A,B,D,E,F
Rationale: Abdominal assessment, vaginal discharge, temperature, dyspareunia, and condom usage are critical findings that may indicate infections, sexually transmitted diseases, or other health concerns requiring provider evaluation.