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 meconium aspiration syndrome?
Correct Answer: A
Rationale: The correct answer is A: Respiratory distress syndrome. Meconium aspiration syndrome can lead to respiratory distress due to meconium obstructing the airways and causing inflammation. Hypoglycemia and jaundice are not direct complications of meconium aspiration syndrome.
Therefore, choice A is the most appropriate answer.
Question 2 of 5
Which of the following is a potential complication of a nuchal cord?
Correct Answer: A
Rationale: The correct answer is A: Fetal distress. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. This can potentially lead to decreased blood flow and oxygen supply to the baby, resulting in fetal distress. Maternal hemorrhage and amniotic fluid embolism are not direct complications of a nuchal cord.
Therefore, the correct answer is A as it directly relates to the potential consequence of a nuchal cord.
Question 3 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 4 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding can indicate a potential genetic abnormality or chromosomal disorder, such as Down syndrome. The nurse should report this to the provider for further evaluation and appropriate management. Single palmar creases are not a typical finding in a full-term newborn and can be a significant indicator of an underlying condition.
The other choices are incorrect because:
B: Down syndrome is a potential consequence of having single palmar creases, but it is not the clinical finding that should be reported.
C: Rust-stained urine is not typically a concerning finding in a newborn and does not require immediate reporting.
D: Transient circumoral cyanosis is common in newborns and usually resolves on its own without intervention.
E: Subconjunctival hemorrhage is a common and benign finding in newborns due to the pressure changes during delivery and does not typically require immediate reporting.
Question 5 of 5
Which of the following is a potential complication of neonatal hypothermia?
Correct Answer: A
Rationale: Neonatal hypothermia can lead to hypoglycemia due to the increased energy demands of maintaining body temperature.