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 vacuum-assisted delivery?
Correct Answer: C
Rationale: The correct answer is C: Intra-abdominal injury. During a vacuum-assisted delivery, the vacuum may apply excessive force leading to potential complications such as intra-abdominal injury. The vacuum can cause trauma to maternal organs like the bladder or uterus. Fetal distress and maternal hemorrhage can occur during any delivery, not specifically related to vacuum-assisted delivery.
Choice D is incorrect as it is not true that all three complications are potential risks of vacuum-assisted delivery.
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 priority intervention is to begin FHR (fetal heart rate) monitoring to ensure the fetus is not in distress after the rupture of membranes. This is critical for fetal well-being.
Question 3 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Verifying the newborn's identification is the first priority to ensure that the correct newborn is receiving care, especially in a busy nursery setting.
Question 4 of 5
Which of the following is a potential legal issue related to maternal and newborn healthcare?
Correct Answer: D
Rationale: Legal issues include informed consent, patient confidentiality, and medical malpractice.
Question 5 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.