ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended method of screening for gestational diabetes during pregnancy?
Correct Answer: C
Rationale: The oral glucose tolerance test (OGTT) is the standard method for screening gestational diabetes during pregnancy.
Question 2 of 5
What is the recommended method of feeding for a preterm newborn who is not yet able to coordinate sucking and swallowing?
Correct Answer: C
Rationale: Tube feeding is recommended for preterm newborns who cannot yet coordinate sucking and swallowing.
Question 3 of 5
A nurse in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment is crucial as it can indicate underlying health issues. Vaginal discharge and dyspareunia could suggest infections or reproductive health concerns. Monitoring temperature is essential to detect potential infections. Heart rate can be important, but in this case, it may not be as urgent unless it is significantly abnormal. Condom usage is relevant for assessing the adolescent's sexual health practices. Reporting these findings ensures comprehensive care and early intervention if needed.
Question 4 of 5
What is the recommended method of administering the first dose of hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: The correct answer is A, intramuscular injection, for administering the first dose of hepatitis B vaccine to a newborn. This method ensures rapid absorption and optimal immune response. Intramuscular injection delivers the vaccine directly into the muscle tissue, allowing for efficient uptake by the immune system. Oral administration (
B) is not recommended for the hepatitis B vaccine as it may not provide adequate absorption.
Topical application (
C) and subcutaneous injection (
D) are also not appropriate for this vaccine due to slower absorption rates. It is crucial to administer vaccines correctly to ensure the best protection against infections.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:|
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.
Exhibit 4
Medical History
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy. Maternal use of marijuana during
pregnancy
Client who gave birth plans to breastfeed.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: