ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 1 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale:
Extract:
Question 2 of 5
What is the primary responsibility of a nurse or midwife in providing culturally competent care in maternal and newborn healthcare?
Correct Answer: D
Rationale: Culturally competent care involves recognizing cultural diversity, providing culturally sensitive education, and addressing health disparities.
Question 3 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. This is the recommended site for administering vaccines to newborns due to its large muscle mass, which allows for optimal absorption and minimizes the risk of injury to surrounding structures. It is also the preferred site to prevent damage to the sciatic nerve and femoral artery. Options B, C, and D are incorrect because massaging the site vigorously can cause discomfort, inserting the needle at a 45° angle may not reach the muscle in newborns, and using a 21-gauge needle may not be appropriate for newborns.
Question 4 of 5
What is the function of the amniotic fluid during fetal development?
Correct Answer: D
Rationale: Amniotic fluid serves multiple functions including cushioning the fetus allowing movement and regulating temperature. These roles are essential for healthy fetal development.
Question 5 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The client being 80% effaced and 8 cm dilated indicates she is in active labor and close to delivering the baby. This progression puts her at risk for postpartum hemorrhage, which is excessive bleeding after childbirth due to the uterus not contracting effectively to control bleeding from the site where the placenta was attached. Other choices are incorrect because: A: Ectopic pregnancy is when a fertilized egg implants outside the uterus. B: Hyperemesis gravidarum is severe nausea and vomiting during pregnancy. C: Incompetent cervix is when the cervix begins to dilate and efface prematurely.