ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which of the following is a potential complication of neonatal hypernatremia?
Correct Answer: C
Rationale: Neonatal hypernatremia can lead to dehydration due to excessive sodium levels.
Question 2 of 5
Which hormone is responsible for stimulating milk production in the breasts?
Correct Answer: C
Rationale: The correct answer is C: Prolactin. Prolactin is the hormone responsible for stimulating milk production in the breasts. It is produced by the pituitary gland and its primary function is to promote lactation. Progesterone and estrogen are reproductive hormones that play a role in the menstrual cycle and pregnancy but are not directly responsible for milk production. Oxytocin is responsible for the ejection of milk from the breasts during breastfeeding, not for milk production itself.
Therefore, the correct choice is prolactin as it specifically targets breast tissue to stimulate milk production.
Question 3 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "This procedure determines if your baby has genetic or congenital disorders." At 12 weeks gestation, amniocentesis is typically performed to assess genetic or chromosomal abnormalities, not to determine the sex of the fetus. This procedure involves analyzing the amniotic fluid for genetic information, providing valuable insights into the baby's health. Option A is incorrect because there is no age requirement for amniocentesis; it is typically based on medical indications. Option C is incorrect as chorionic villus sampling is another prenatal test that is not routinely used to determine fetal sex. Option D is incorrect as scheduling the procedure without proper counseling and informed consent is inappropriate. Remember, the primary purpose of amniocentesis is to assess genetic or chromosomal disorders, not to determine the sex of the fetus.
Question 4 of 5
What is the recommended amount of weight gain during pregnancy for a woman with a normal BMI?
Correct Answer: B
Rationale: The correct answer is B (20-30 pounds). This range is recommended for a woman with a normal BMI (18.5-24.9) to ensure a healthy pregnancy. Gaining below 20 pounds may lead to low birth weight, while exceeding 30 pounds increases the risk of complications like gestational diabetes and hypertension. It is important for the mother to gain enough weight to support the baby's growth without putting her health at risk.
Choices A, C, and D are incorrect as they suggest weight gain outside the recommended range, which could potentially harm both the mother and the baby.
Question 5 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.
Rationale: Sore nipples in breastfeeding can be caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues, such as shallow latch or incorrect positioning, which can alleviate the discomfort for the mother. This action promotes effective breastfeeding and prevents further nipple soreness.
Incorrect
Choices:
A: Instructing the client to wait 4 hr between daytime feedings is not appropriate as it can lead to engorgement and decrease milk supply.
C: Having the client limit breastfeeding to 5 min per breast can hinder milk production and may not address the underlying latch issue causing sore nipples.
D: Offering supplemental formula is not necessary and can interfere with establishing breastfeeding and milk supply.