ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended method of screening for hepatitis B during pregnancy?
Correct Answer: A
Rationale: The HBsAg test is the recommended method for screening for hepatitis B during pregnancy.
Question 2 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A fetal heart rate (FHR) of 152/min is within the normal range of 110 to 160 beats per minute for a fetus at 18 weeks of gestation.
Question 3 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring serum levels is crucial to ensure the medication is being taken as prescribed. By checking the client's serum medication level, the nurse can accurately assess if the client is adhering to the prescribed regimen. Asking the client if they are taking the medication as prescribed (choice
A) relies on self-reporting, which may not always be accurate. Assessing kidney function (choice
B) is important for monitoring digoxin but does not directly evaluate medication adherence. Determining the client’s apical pulse rate (choice
C) is important but does not provide a direct measure of medication adherence.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reporting the client’s HIV status to the local health department is a legal requirement to ensure proper public health tracking and intervention.
Question 5 of 5
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: C
Rationale: Fetal anemia can lead to bradycardia due to reduced oxygen delivery to the fetal heart.