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 hyperbilirubinemia?
Correct Answer: B
Rationale: The correct answer is B: Kernicterus. Neonatal hyperbilirubinemia can lead to kernicterus, a serious complication where bilirubin crosses the blood-brain barrier, causing brain damage.
Choice A, hypoglycemia, is not a typical complication of hyperbilirubinemia.
Choice C, respiratory distress syndrome, is a separate condition caused by immature lungs.
Choice D, "All of the above," is incorrect as hyperbilirubinemia specifically leads to kernicterus, not the other complications listed.
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: Respiratory distress in a late preterm newborn can be a sign of hypoglycemia, as low blood sugar levels can impair respiratory function.
Question 3 of 5
What is the recommended method of screening for syphilis during pregnancy?
Correct Answer: D
Rationale: Screening for syphilis during pregnancy can involve the VDRL, RPR, or FTA-ABS tests.
Question 4 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: Epigastric pain in a pregnant client can be a sign of preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical attention.
Question 5 of 5
What is the recommended method of screening for gestational diabetes?
Correct Answer: C
Rationale: The correct answer is C: Oral glucose tolerance test (OGTT) is the recommended method for screening gestational diabetes. OGTT involves measuring blood glucose levels after fasting and again 1-2 hours after consuming a glucose drink. This test is considered the gold standard for diagnosing gestational diabetes as it provides a more comprehensive assessment of glucose tolerance compared to other methods.
A: Random blood glucose test is not recommended for screening as it does not provide a reliable indication of glucose tolerance.
B: Fasting blood glucose test only provides a snapshot of glucose levels at a specific point in time and may miss cases of gestational diabetes.
D: Hemoglobin A1C test measures average blood glucose levels over several months and is not specific for diagnosing gestational diabetes.
In summary, OGTT is preferred for its ability to detect gestational diabetes accurately by assessing glucose tolerance levels before and after consuming a glucose load, making it the most appropriate screening method.