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 forceps-assisted delivery?
Correct Answer: C
Rationale: Forceps-assisted delivery can sometimes result in neonatal brachial plexus injury due to the pressure applied during delivery.
Question 2 of 5
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale:
Correct Answer: C - Hypotension
Rationale:
1. Opioid analgesics can cause vasodilation leading to hypotension.
2. Epidural administration can further potentiate the hypotensive effect.
3. Monitoring for hypotension is crucial to prevent complications like decreased perfusion.
Incorrect
Choices:
A: Hyperglycemia - Opioids are not known to cause hyperglycemia.
B: Bilateral crackles - Indicates pulmonary issues, not related to opioids.
D: Polyuria - Not a common adverse effect of opioids.
Extract:
The nurse continues to care for the client who is at 30 weeks of
gestation.
Exhiont 2
Vital Signs
1000:
Temperature 37.4"C（99.3*F)
Heart rate 90/min
Respiratory rate 20/min
Blood pressure 148/94 mm Hg
Oxygen saturation 95% on room air
1100:
Temperature 37° C (98.6° F)
Heart rate 92/min
Respiratory rate 24/min
Blood pressure 156/96 mm Hg
Oxygen saturation 94% on room air
1400:
Temperature 37.2°C（98.9*F）
Heart rate 80/min
Respiratory rate 14/min
Blood pressure 170/112 mm Hg
oxygen saturation 92% on room air
Question 3 of 5
Complete the following sentence by using the list of options. Based on the client findings, the nurse should first admister-----------------and then prepare to administer-----------------------
Correct Answer: B,A
Rationale:
Rationale:
First administer hydralazine ✅
The client is experiencing severe hypertension (BP 170/112 mm Hg at 1400), which indicates preeclampsia with severe features.
Hydralazine is a fast-acting antihypertensive that helps lower blood pressure and reduce the risk of stroke, placental abruption, or fetal compromise.
Then prepare to administer calcium gluconate ✅
If the client is receiving magnesium sulfate for seizure prevention (common in severe preeclampsia), calcium gluconate is the antidote in case of magnesium toxicity (which can cause respiratory depression or cardiac arrest).
The nurse should have calcium gluconate readily available in case of toxicity signs like loss of deep tendon reflexes, respiratory depression, or cardiac arrhythmias.
Notify the provider 🚨
The severely elevated BP (170/112 mm Hg) and potential risk for eclampsia (seizures) require immediate provider notification for further management.
Extract:
Question 4 of 5
What is the recommended method of contraception for a woman who is breastfeeding?
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are safe to use while breastfeeding as they do not affect milk supply. They are also effective in preventing pregnancy. Combined oral contraceptives (choice
A) are not recommended during breastfeeding due to estrogen content. Depo-Provera injection (choice
B) and Copper IUD (choice
C) are also safe but may have more potential side effects during breastfeeding. In summary, progestin-only pills are the recommended choice for breastfeeding women due to their safety and effectiveness.
Question 5 of 5
Which of the following is a potential complication of hypothermia in a newborn?
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. Hypothermia can lead to respiratory distress syndrome in a newborn due to decreased surfactant production, leading to alveolar collapse and impaired gas exchange. Hypoglycemia can also occur but is not directly related to hypothermia. Hypertension is not typically associated with hypothermia in newborns.
Choice D, "All of the above," is incorrect as only respiratory distress syndrome is a direct potential complication of hypothermia in a newborn.