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 jaundice in a newborn?
Correct Answer: A
Rationale: The correct answer is A: Kernicterus. Jaundice in newborns can lead to the accumulation of bilirubin in the brain, causing permanent brain damage known as kernicterus. This occurs when bilirubin levels are too high and cross the blood-brain barrier. Other choices (B, C,
D) are potential complications of jaundice but do not specifically involve brain damage like kernicterus. Hypoglycemia may result from liver dysfunction due to jaundice. Respiratory distress may occur due to increased bilirubin affecting lung function. Sepsis can be a complication of untreated jaundice leading to systemic infection but is not directly related to brain damage like kernicterus.
Question 2 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "This procedure determines if your baby has genetic or congenital disorders." At 12 weeks gestation, amniocentesis is typically performed to assess genetic or chromosomal abnormalities, not to determine the sex of the fetus. This procedure involves analyzing the amniotic fluid for genetic information, providing valuable insights into the baby's health. Option A is incorrect because there is no age requirement for amniocentesis; it is typically based on medical indications. Option C is incorrect as chorionic villus sampling is another prenatal test that is not routinely used to determine fetal sex. Option D is incorrect as scheduling the procedure without proper counseling and informed consent is inappropriate. Remember, the primary purpose of amniocentesis is to assess genetic or chromosomal disorders, not to determine the sex of the fetus.
Question 3 of 5
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to ambulate to the bathroom. This is the appropriate initial action for the nurse to take because post-cesarean birth, the client may have difficulty urinating due to anesthesia effects or discomfort. Ambulation can help stimulate the bladder and promote urine voiding. Inserting a urinary catheter (
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
C) is a non-invasive way to assess for urinary retention, but ambulation should be attempted first. Administering a diuretic (
D) is not indicated without confirming urinary retention first.
Question 4 of 5
A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during any trimester of pregnancy to protect both the mother and the baby.
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: Respiratory distress in a late preterm newborn can be a sign of hypoglycemia, as low blood sugar levels can impair respiratory function.