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 placenta previa?
Correct Answer: C
Rationale: Placenta previa can lead to placental abruption, a serious condition where the placenta detaches from the uterine wall prematurely.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
Question 2 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, r candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal assessment | |||
| Vaginal discharge | |||
| Heart rate | |||
| Temperature | |||
| Dyspareunia | |||
| Condom usage |
Correct Answer: A,B,D,E,F
Rationale: Abdominal assessment, vaginal discharge, temperature, dyspareunia, and condom usage are critical findings that may indicate infections, sexually transmitted diseases, or other health concerns requiring provider evaluation.
Extract:
Question 3 of 5
What is the recommended method of administering hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering the hepatitis B vaccine intramuscularly ensures optimal absorption and immune response. Muscle tissue has a rich blood supply, allowing for efficient distribution of the vaccine components. This route also minimizes the risk of injection site reactions and ensures proper dosage delivery. Oral administration (
B) is not recommended for the hepatitis B vaccine as it may not be as effective due to degradation in the digestive system.
Topical application (
C) is ineffective for vaccines that require systemic circulation. Subcutaneous injection (
D) may lead to inadequate absorption and efficacy compared to intramuscular injection.
Question 4 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 5 of 5
What is the recommended method of screening for Group B Streptococcus (GBS) during pregnancy?
Correct Answer: B
Rationale: The recommended method for screening for Group B Streptococcus (GBS) during pregnancy is rectovaginal culture. This method involves obtaining swabs from the rectum and vagina to detect the presence of GBS bacteria. This is important because GBS colonization in pregnant women can lead to neonatal infections. Urine culture is not the recommended method for GBS screening during pregnancy, as GBS is typically found in the gastrointestinal and genital tracts, not the urinary tract. Blood tests are not specific for detecting GBS colonization. Nasopharyngeal culture is used to detect respiratory infections, not GBS colonization in pregnant women.