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 gestational diabetes?
Correct Answer: D
Rationale: Gestational diabetes can lead to polyhydramnios, preterm labor, and neonatal hypoglycemia.
Question 2 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Begin FHR monitoring. This is the priority intervention because it allows the nurse to assess the baby's well-being and detect any signs of fetal distress. Monitoring the fetal heart rate is crucial in determining the baby's response to the water breaking. Performing Nitrazine testing (
A) and assessing the fluid (
B) can provide additional information but do not directly assess fetal well-being. Checking cervical dilation (
C) is important but not as urgent as monitoring the FHR in this situation.
Question 3 of 5
Which of the following is a potential complication of oligohydramnios?
Correct Answer: B
Rationale: The correct answer is B: Fetal growth restriction. Oligohydramnios refers to low amniotic fluid levels, which can restrict fetal movement and lead to poor circulation, resulting in inadequate fetal growth. Preterm labor can be associated with polyhydramnios (
Choice
C), not oligohydramnios.
Choice D is incorrect as preterm labor is not directly linked to oligohydramnios.
Question 4 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. After a vaginal birth, the uterus should be midline and firm. Palpating the uterus to the right above the umbilicus indicates a full bladder displacing the uterus. A distended bladder can prevent the uterus from contracting properly, leading to postpartum hemorrhage. By assisting the client to empty their bladder, the nurse helps the uterus contract effectively, reducing the risk of complications. Options A and B are incorrect as they do not address the underlying issue of a full bladder. Option D is incorrect as lying on the right side does not address the bladder distension.
Question 5 of 5
What is the recommended method of pain relief during labor for a woman who desires regional anesthesia?
Correct Answer: D
Rationale: Regional anesthesia options include epidural, spinal, and combined spinal-epidural blocks.