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 hypoglycemia in a newborn?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Hypoglycemia in a newborn can lead to hypothermia due to decreased energy production, hyperbilirubinemia as a result of increased breakdown of red blood cells, and respiratory distress syndrome due to compromised lung function. All these complications are interconnected and can occur simultaneously in a newborn with hypoglycemia, highlighting the importance of prompt diagnosis and management.
Choices A, B, and C are incorrect because they do not encompass the comprehensive range of potential complications associated with hypoglycemia in a newborn.
Question 2 of 5
A nurse is preparing to administer an IM injection to a newborn. Which of the following sites should the nurse select?
Correct Answer: A
Rationale: The correct answer is A: Vastus lateralis. For newborns, the vastus lateralis muscle is the preferred site for IM injections due to its larger muscle mass, lower risk of hitting nerves or blood vessels, and better absorption of the medication. The site is located on the lateral aspect of the thigh, making it easily accessible and safe for injections. The other choices are incorrect for newborns: B (dorsogluteal) is not recommended due to the risk of sciatic nerve injury, C (deltoid) is typically used for older children and adults, and D (rectus femoris) is not a commonly used site for IM injections in newborns.
Question 3 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 4 of 5
What is the function of the amniotic fluid during pregnancy?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Amniotic fluid serves multiple functions during pregnancy. It protects the fetus from trauma by cushioning it against external forces. It helps regulate fetal temperature by maintaining a stable environment. Additionally, amniotic fluid allows for fetal movement, which aids in the development of muscles and joints.
Therefore, D is correct as it encompasses all the essential functions of amniotic fluid.
Choices A, B, and C alone do not capture the comprehensive role of amniotic fluid, making them incorrect in this context.
Question 5 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 can lead to respiratory distress in newborns due to inadequate energy supply to respiratory muscles. Hypertonia (
A) is not typically associated with hypoglycemia. Increased feeding (
B) may be a compensatory mechanism for hypoglycemia. Hyperthermia (
C) is not a common manifestation of hypoglycemia. Thus, the presence of respiratory distress (
D) is a key indication of hypoglycemia in a late preterm newborn.