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 neonatal respiratory distress syndrome?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal respiratory distress syndrome can lead to complications like hypoglycemia due to increased metabolic demand, pneumonia due to compromised lung function, and patent ductus arteriosus due to pulmonary hypertension. Choosing A, B, or C alone would be incorrect as each complication can potentially arise in neonates with respiratory distress syndrome.
Question 2 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.
Rationale: Sore nipples in breastfeeding can be caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues, such as shallow latch or incorrect positioning, which can alleviate the discomfort for the mother. This action promotes effective breastfeeding and prevents further nipple soreness.
Incorrect
Choices:
A: Instructing the client to wait 4 hr between daytime feedings is not appropriate as it can lead to engorgement and decrease milk supply.
C: Having the client limit breastfeeding to 5 min per breast can hinder milk production and may not address the underlying latch issue causing sore nipples.
D: Offering supplemental formula is not necessary and can interfere with establishing breastfeeding and milk supply.
Question 3 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Eliminating dairy products may help reduce nausea and vomiting in clients with hyperemesis gravidarum, as dairy can sometimes exacerbate these symptoms.
Question 4 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. When a newborn is delivered with a nuchal cord (umbilical cord wrapped around the neck), it can cause pressure on the baby's face during delivery, leading to small red or purple spots called petechiae. This occurs due to capillary rupture. Telangiectatic nevi (choice
A) are birthmarks caused by widened blood vessels, not related to nuchal cord. Periauricular papillomas (choice
C) are benign skin growths, not specifically linked to nuchal cord. Erythema toxicum (choice
D) is a common newborn rash unrelated to nuchal cord.
Question 5 of 5
Which of the following is a potential complication of neonatal hypoglycemia?
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.