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 a postpartum hemorrhage?
Correct Answer: A
Rationale: Postpartum hemorrhage can lead to disseminated intravascular coagulation (DI
C), a serious condition where blood clotting is disrupted.
Question 2 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 3 of 5
Which of the following is a potential ethical issue in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, ethical issues can arise in various aspects such as informed consent, patient confidentiality, and end-of-life decision-making. Informed consent ensures that patients fully understand the risks and benefits of medical interventions. Patient confidentiality is essential for maintaining trust and privacy. End-of-life decision-making involves delicate ethical considerations regarding the best interests of both the mother and the newborn. These issues are crucial in ensuring ethical practices and upholding the rights of patients in maternal and newborn healthcare.
Choices A, B, and C are incorrect because each of them represents a distinct but valid ethical concern within this context.
Question 4 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 5 of 5
Which of the following is a potential complication of a vacuum-assisted delivery?
Correct Answer: C
Rationale: The correct answer is C: Intra-abdominal injury. During a vacuum-assisted delivery, the vacuum may apply excessive force leading to potential complications such as intra-abdominal injury. The vacuum can cause trauma to maternal organs like the bladder or uterus. Fetal distress and maternal hemorrhage can occur during any delivery, not specifically related to vacuum-assisted delivery.
Choice D is incorrect as it is not true that all three complications are potential risks of vacuum-assisted delivery.