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 patient safety in maternal and newborn healthcare?
Correct Answer: D
Rationale: Barriers to patient safety include medication errors, inadequate staffing, and patient noncompliance.
Question 2 of 5
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. Frequent vomiting with weight loss of 3 lb in 1 week should be reported because it could indicate hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration and electrolyte imbalances, potentially harming the fetus. This is a significant concern that requires medical attention.
B: Reports of mood swings are common during pregnancy due to hormonal changes and are not typically a cause for immediate concern.
C: Nosebleeds occurring 3 times per week are common in pregnancy due to increased blood volume and hormonal changes, usually not a significant issue.
D: Increased vaginal discharge is a common pregnancy symptom caused by hormonal changes and increased blood flow to the pelvic area, usually not a cause for alarm at this stage.
Question 3 of 5
What is the function of the placenta during pregnancy?
Correct Answer: D
Rationale: The placenta protects the fetus, removes waste, and facilitates nutrient and gas exchange.
Question 4 of 5
Which of the following is a potential complication of a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Postpartum hemorrhage, infection, and deep vein thrombosis are all potential complications of a cesarean delivery. Postpartum hemorrhage can occur due to excessive bleeding after delivery. Infection can happen at the incision site or internally. Deep vein thrombosis is a risk due to immobility and changes in blood flow during and after surgery. Choosing options A, B, or C alone would not encompass all potential complications, making D the most comprehensive answer.
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: