ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which of the following hormones is responsible for maintaining the uterine lining during pregnancy?
Correct Answer: A
Rationale: Progesterone is responsible for maintaining the uterine lining during pregnancy, supporting the developing fetus.
Question 2 of 5
A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during any trimester of pregnancy to protect both the mother and the baby.
Question 3 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the umbilical cord, which can lead to fetal distress and compromise blood flow. By covering the cord with a sterile saline-saturated towel, the nurse can protect it from drying out and reduce the risk of infection. Additionally, this intervention helps maintain a moist environment for the cord until emergency measures are taken. Performing a vaginal examination (
Choice
A) can further worsen the situation by causing more pressure on the cord. Administering oxygen (
Choice
C) and initiating IV fluids (
Choice
D) are important interventions but should follow the immediate action of covering the cord.
Question 4 of 5
Which of the following is a potential complication of maternal hyperemesis gravidarum?
Correct Answer: D
Rationale: Hyperemesis gravidarum can lead to preterm labor, fetal growth restriction, and maternal dehydration.
Question 5 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. When a newborn is delivered with a nuchal cord (umbilical cord wrapped around the neck), it can cause pressure on the baby's face during delivery, leading to small red or purple spots called petechiae. This occurs due to capillary rupture. Telangiectatic nevi (choice
A) are birthmarks caused by widened blood vessels, not related to nuchal cord. Periauricular papillomas (choice
C) are benign skin growths, not specifically linked to nuchal cord. Erythema toxicum (choice
D) is a common newborn rash unrelated to nuchal cord.