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 hypocalcemia?
Correct Answer: C
Rationale: Neonatal hypocalcemia can lead to hypotension due to low calcium levels.
Question 2 of 5
What is the recommended method of pain relief for a woman who has a vaginal tear or episiotomy after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a vaginal tear or episiotomy may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen is a pain reliever that can also help manage the discomfort. Ice packs can provide local anesthesia and reduce swelling. Using all three methods together can provide comprehensive pain relief by targeting different aspects of pain and inflammation. Thus, a combination of NSAIDs, acetaminophen, and ice packs is the recommended method for effective pain management in this situation. Other choices are incorrect because using only one method may not address all aspects of pain or inflammation adequately.
Question 3 of 5
Which of the following is a potential complication of a vacuum-assisted delivery?
Correct Answer: D
Rationale: Vacuum-assisted delivery can lead to fetal distress, maternal hemorrhage, and neonatal cephalohematoma.
Question 4 of 5
What is the most common type of anesthesia used during labor?
Correct Answer: A
Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor as it provides effective pain relief while allowing the mother to remain conscious and actively participate in the birthing process. It is administered through a catheter placed into the epidural space in the lower back, delivering medication to numb the lower half of the body. Spinal anesthesia (
B) is typically used for cesarean deliveries, not labor. General anesthesia (
C) is rarely used in labor due to its effects on the baby. Local anesthesia (
D) is not sufficient for labor pain relief.
Question 5 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is essential during a nonstress test to monitor the fetal heart rate in response to movement. Pressing the button helps correlate fetal heart rate changes with fetal movements. Maintaining the client NPO (
Choice
A) is not necessary for a nonstress test. Placing the client in a supine position (
Choice
B) can decrease blood flow to the fetus. Instructing the client to massage the abdomen (
Choice
C) may alter the test results by artificially stimulating fetal movements.