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 vaginal birth after cesarean (VBAC)?
Correct Answer: A
Rationale: Uterine rupture is a potential complication of VBAC.
Question 2 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should increase my protein intake to 60 grams each day." This is the correct answer because protein is essential for fetal development and maternal health during pregnancy. Protein helps in the growth of the baby's tissues and organs. The recommended daily protein intake during pregnancy is higher than usual, around 71 grams per day.
Therefore, increasing protein intake to 60 grams is a good indication that the client understands the importance of adequate protein during pregnancy.
Choice B is incorrect because while hydration is important during pregnancy, there is no specific recommended daily intake of 2 liters of water.
Choice C is incorrect because increasing overall caloric intake by 300 calories is a general recommendation for the second and third trimesters, not necessarily at 10 weeks of gestation.
Choice D is incorrect because while folic acid is important during pregnancy to prevent birth defects, the recommended daily intake is 400-800 micrograms, not specifically 600 micrograms.
Question 3 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to maternal hyperglycemia causing increased insulin production in the fetus. Jitteriness is a common manifestation of hypoglycemia in newborns as their brain relies heavily on glucose for energy. Abdominal distention (
A) is not usually associated with hypoglycemia in newborns. Petechiae (
B) are small, pinpoint hemorrhages under the skin and not related to hypoglycemia. Increased muscle tone (
C) is not a typical sign of hypoglycemia in newborns.
Question 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are absent in a vegan diet. Fortified soy milk is a plant-based alternative that is often fortified with vitamin B12. Raw carrots (
B), fresh citrus fruits (
C), and brown rice (
D) do not contain significant amounts of vitamin B12. The nurse should recommend fortified soy milk as it is a reliable source of vitamin B12 for individuals following a vegan diet.
Question 5 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding can indicate a potential genetic abnormality or chromosomal disorder, such as Down syndrome. The nurse should report this to the provider for further evaluation and appropriate management. Single palmar creases are not a typical finding in a full-term newborn and can be a significant indicator of an underlying condition.
The other choices are incorrect because:
B: Down syndrome is a potential consequence of having single palmar creases, but it is not the clinical finding that should be reported.
C: Rust-stained urine is not typically a concerning finding in a newborn and does not require immediate reporting.
D: Transient circumoral cyanosis is common in newborns and usually resolves on its own without intervention.
E: Subconjunctival hemorrhage is a common and benign finding in newborns due to the pressure changes during delivery and does not typically require immediate reporting.