ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Language barriers, cultural differences, and limited access to technology can all act as potential barriers to effective communication in maternal and newborn healthcare. Language barriers can hinder understanding and conveying important information. Cultural differences can lead to misunderstandings and misinterpretations. Limited access to technology may restrict the ability to communicate effectively or access necessary resources.
Therefore, all three factors contribute to communication challenges in healthcare settings.
Choices A, B, and C are incorrect because they each represent individual barriers, whereas the correct answer encompasses all three as significant obstacles to effective communication in maternal and newborn healthcare.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Notify the provider if the end of your baby’s penis appears dark red. This information is crucial as it indicates a potential complication like infection or inadequate blood flow, requiring prompt medical attention.
Choice A is incorrect as the Plastibell is typically removed after a few days, not hours.
Choice B is incorrect because the diaper should be loose to prevent rubbing and irritation.
Choice C is incorrect as yellow exudate is not a typical finding; it could indicate an issue like infection.
Extract:
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.
Exhibit 1 - Nurses' Notes: 0700
Breasts soft, nipples intact. Uterus palpated firm, midline, and at the level of the umbilicus.
Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and
ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously; no bladder
distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities.
Exhibit 2 - Nurses' Notes: 1100
Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the
umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema
and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+.
Peripheral edema 2+ in bilateral lower extremities.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A,B,C,G
Rationale: These findings suggest uterine atony and bladder distention, which can lead to postpartum hemorrhage, a life-threatening emergency. Immediate interventions include fundal massage, bladder emptying, and administration of uterotonic medications.
Extract:
Question 4 of 5
Which of the following is a potential complication of meconium aspiration syndrome?
Correct Answer: A
Rationale: The correct answer is A: Respiratory distress syndrome. Meconium aspiration syndrome can lead to respiratory distress due to meconium obstructing the airways and causing inflammation. Hypoglycemia and jaundice are not direct complications of meconium aspiration syndrome.
Therefore, choice A is the most appropriate answer.
Question 5 of 5
A nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Positioning the baby at a 45-degree angle in the car seat ensures proper airway alignment and reduces the risk of suffocation. Placing the baby in the front seat or turning the car seat too early are unsafe practices.