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 retained placenta?
Correct Answer: B
Rationale: The correct answer is B: Postpartum hemorrhage. A retained placenta can lead to postpartum hemorrhage due to incomplete delivery of the placenta, causing excessive bleeding. Preeclampsia is a separate condition characterized by high blood pressure and can occur during pregnancy but is not directly caused by a retained placenta. Gestational diabetes is a condition of high blood sugar during pregnancy, unrelated to a retained placenta.
Choice D, "All of the above," is incorrect as not all options are potential complications of a retained placenta.
Question 2 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in late preterm newborns can lead to inadequate glucose supply to the respiratory muscles, causing respiratory distress. Hypertonia (
A) is not a typical sign of hypoglycemia. Increased feeding (
B) is a compensatory response to hypoglycemia. Hyperthermia (
C) is not a common manifestation of hypoglycemia.
Question 3 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should increase my protein intake to 60 grams each day." This is the correct answer because protein is essential for fetal development and maternal health during pregnancy. Protein helps in the growth of the baby's tissues and organs. The recommended daily protein intake during pregnancy is higher than usual, around 71 grams per day.
Therefore, increasing protein intake to 60 grams is a good indication that the client understands the importance of adequate protein during pregnancy.
Choice B is incorrect because while hydration is important during pregnancy, there is no specific recommended daily intake of 2 liters of water.
Choice C is incorrect because increasing overall caloric intake by 300 calories is a general recommendation for the second and third trimesters, not necessarily at 10 weeks of gestation.
Choice D is incorrect because while folic acid is important during pregnancy to prevent birth defects, the recommended daily intake is 400-800 micrograms, not specifically 600 micrograms.
Question 4 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 5 of 5
Which of the following is a potential barrier to providing patient-centered care in maternal and newborn healthcare?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Lack of communication skills can hinder effective interactions with patients. Lack of knowledge and expertise may lead to suboptimal care. Lack of cultural awareness can result in misunderstandings and inadequate support. Choosing D emphasizes that all three factors can collectively impede the delivery of patient-centered care in maternal and newborn healthcare. The other choices are incorrect because they focus on individual barriers, whereas the correct answer acknowledges the multifaceted nature of challenges in patient-centered care.