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 extractor can potentially apply excessive force leading to intra-abdominal injury to the mother. This can include injuries to the uterus, bladder, or other abdominal organs. Fetal distress (choice
A) and maternal hemorrhage (choice
B) are potential complications of vacuum-assisted delivery as well, but they are not directly related to the mechanical trauma that can cause intra-abdominal injury.
Therefore, the correct answer is C as it specifically addresses a unique complication associated with vacuum-assisted delivery.
Question 2 of 5
Which of the following is a potential complication of a retained placenta?
Correct Answer: B
Rationale: The correct answer is B: Postpartum hemorrhage. A retained placenta can lead to postpartum hemorrhage due to incomplete delivery of the placenta, causing excessive bleeding. Preeclampsia and gestational diabetes are not directly related to a retained placenta.
Therefore, the correct answer is B.
Question 3 of 5
What is the recommended method of pain relief for a woman who has a perineal laceration after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a perineal laceration may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen can also provide pain relief without affecting inflammation. Sitz baths can help promote healing and reduce discomfort.
Therefore, using all three methods together can provide comprehensive pain relief and aid in the healing process. Options A, B, and C alone may address specific aspects of pain relief but using all three together offers a more holistic approach to managing postpartum perineal pain.
Question 4 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 condition characterized by bilirubin accumulation in the brain, causing irreversible neurological damage. Hypoglycemia (choice
A) and respiratory distress syndrome (choice
C) are not direct complications of hyperbilirubinemia.
Choice D, "All of the above," is incorrect as only kernicterus is a potential complication of neonatal hyperbilirubinemia.
Question 5 of 5
What is the recommended method of administering the first dose of hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering the hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Muscle tissue has a rich blood supply which aids in the rapid dissemination of the vaccine components throughout the body. This method also reduces the risk of injection site reactions. Oral administration (
B) is not recommended for the hepatitis B vaccine as it may not provide sufficient immune response.
Topical application (
C) and subcutaneous injection (
D) are not appropriate due to inadequate absorption and immunogenic response.